1369 ROSE ST - HVAC -1�J.v.,I.;.
' `S, CITY OF ATLANTIC BEACH
s _________.)
a ""` 800 SEMINOLE ROAD
J `" '- 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-925
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 2TONS
Estimated Value: $2,500.00
Issue Date: 4/20/2016
Expiration Date: 10/17/2016
PROPERTY ADDRESS:
Address: 1369 ROSE ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: COOL CHANGE HEATING & AIR
Address: 4596 HARBOUR CT QA MANSON L. MCCLAIN, JR
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
Furnaces and Heating $24.00
AC and Refrigeration $16.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Reach, FL 32233
Ph 1904)247-5826 Fax (404) 247.4445
JOB ADDRESS: 1369 ROSE ST. ATLANTIC BEACH 32233 ,PERMIT 0
M . PROJE(7 VAlifE WOO ARI r 5 REQUIRED
Air Handling Equipment Only i Air Handling Unit & Condenser Condoner Only
NEW AIR ('ONDI I ION 1\G & HEATING SYSTEM INSTALLATION
Air Condiiionine Unit Quantity _ Ton%Per Inst __
Heat Unit Quantity BTU's Per Unit Seer Rating
Duet Systems Total ChM RLQ[hIkED
REPLACEMENT AIR ('nNDITI()NIN(: & HEATING SYSTEM INSTALLATION
An Conditioning Unit Quantity I Tons Per Unit `.
Heat Unit Quanta% I 111i i s Per Unit 23200 Seer Rating, 14
Duct Systems Total(TM RE(,►1-`FRED
FIRE PRFA'ENTION
Fire Sprinkler SN stem Quantit% (Rcquirri 3 sets of plans)
Fire Standpipe Quantit% _ (Requires 3 sets of plans)
Underground Fire Mam Value _ (Requires 3 sets of plans)
Fire Hose Cabinets Quantrtr (Requires 3 set% of plans)
Commercial Hoods Quantity i Requires 3 sets of plans)
Fire Suppression Systems Quanta. _ t Requires 3 sets of plans)
FIRE PLACES %IISC'F LI.AN VOL %:
Prefabricated Fireplace Qty Automobile tiff _
Gas Piping Outlets Boilers 131 U's
1_le%ator's.I scalators
ALL OTHER GAS PIPING )teat 1 xchanger
Quantity of Outlets Pumps
it vented Wall Furnaces Refrigerator Condenser BTU's
a Water Heaters Solar ( ollection Ssstcim
Tanks(gallons)
Wells
OTHER:
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Property Owners Name Salt Aar Nomrs Phone Number 91:14-333-1W
Mechanical ( onrQariv Cool Chang HCirting& Air LL( Office Phone 571-l444 Fax 928-9261
Co Address -11<)6.Barbour Non))(1 City jakymmile State F1. Zrp 322.4
1 icenw holder t Pr$M): Ma soli "•k( lain State(ertilication Registration it (AC
.nl•rited.tiignatorettif Lkense Helder - f L- 1 L - 4Ur &c-
Before me this 5 day of Artfc i t 20
•
uremi a 53� Signature of Notary Public
- Liam MAwOU t4,am