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1911 HICKORY LN - MECH A '` ls' CITY OF ATLANTIC BEACH r,' . _ �.) 800 SEMINOLE ROAD ,, ,,,_______________! ATLANTIC BEACH, FL 32233 \ <" INSPECTION PHONE LINE 247-5814 MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-MECH-839 Job Type: MECHANICAL HVAC ONLY Description: 1 cu 3 tons Estimated Value: $2,083.00 Issue Date: 4/11/2016 Expiration Date: 10/8/2016 PROPERTY ADDRESS: Address: 1911 HICKORY LN RE Number: 172020-1318 PROPERTY OWNER: Name: BAYS, JUDITH Address: 1911 HICKORY LN GENERAL CONTRACTOR INFORMATION: Name: OCEAN STATE HEAT & AIR,INC. Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES Phone: - - PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to inspection. Failure to comply will result in a failed inspection and reinspect fees. No exceptions. FEES: Trade Permit Base Fee $55.00 State Mech DCA Surcharge $2.00 State Mech DBPR Surcharge $2.00 AC and Refrigeration $24.00 Total Payments: $83.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION Wan • •• CITY OF ATLANTIC BEACH F�� <ED • 800 Seminole Rd Atlantic Beach, FL 32233 ©�, •-Ph(904)247-5826 Fax (904)247-5845 // • .OB ADDRESS: /t,// H"l e _ PERMIT# ' PROJECT VALUE$ afU6 -- I# Plk REQUIRED __Air Handling Equipment Only Air Handling Unit & Condenser .4 Condenser Ont. WW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit ' • Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity / Tons Per Unit 3 Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity, (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods • Quantity equires 3 sets of plans) "• . Fire Suppression Systems• . Quantity . (R Requires 3 sets of plans) • IRE PLACES • MISCELLANEOUS: Prefabricated Fireplace Qty " ° Automobile Lifts Gas Piping Outlets • Boilers BTU's' Elevators/Escalators kLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets' • Pumps #Vented Wall Furnaces ' - ' Refrigerator Condenser BTU's #Water Heaters .,. _. - Solar Collection Systems . • - - .• Tanks(gallons) • Wells )THER: - E ennit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have its application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether speci at. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name 1K/WI S Phone Number 1/0-/223 • Mechanical Company ( -&e 1,-1 Sk.k ik (ti`r Office Phone.20:41:A5/ Fax 0 :o. Address: ft/A(( /7T/CCi ( ,)tJc1 City fir. State 9- zip-260 Amuse Holder(Print): G L&i1 '✓L G • Certification/Registration# e.46 ' /0 lotarized Signatqfgiqf i old e Be NOTARY PUBLIC . -c:i*�s •y of 1`1 20 l le - STATE OF FLORIDA �••�l�ri Comm*EE879174 ( � J • --•-0 ignature of Notary Public �l ./ Y '� c 1.1 Expires 3/212017 I