870 MAIN ST - HVAC rr\J`J\.,
Jai.
'' \ , CITY OF ATLANTIC BEACH
'"�'" J 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-937
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2 TON
Estimated Value: $4,900.00
Issue Date: 4/22/2016
Expiration Date: 10/19/2016
PROPERTY ADDRESS:
Address: 870 MAIN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: NICKS SOLAR & AIR SYSTEMS
Address: 4559 N FULTON AVE
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:
Furnaces and Heating $24.00
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax(904)247-5845 J - Mee H _ 9 37
OB ADDRESS: 10 PO 1 n SI-1211.-t PERMIT# • 19,
`r
PROJECT VALUE $ tf� q'3 3 ( 6 REQUIRED b� � ARI#
Air Handling Equipment Only _Air Handling Unit & Condenser Condenser Only
1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ' Tons Per Unit - a
Heat: Unit Quantity / BTU's Per Unity Seer Ratin
Duct Systems: Total CFM /c ri r REQUIRED
tEPLACEMENT 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
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 (Requires 3 sets of plans) ,
Fire Suppression Systems Quantity (Requires 3 sets of plans)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts -=
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
k.LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's —.
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells ,J`--
•
)THER:
ermit 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 read
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 specified or
Dt. 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 1 Phone Number ct�' 3y�t 2.k Q3
/)1eiesS l 1�l �39 S7V
Mechanical Company 0 �X1.1'117 l`f-•/R .S���S �v Office Phone F
'o. Address: r 1 m - PP
r City i 0/NO ` t State) Zip'3�3-10
Accuse Holder(Print): 1 Ct S M,!,� a S •to ertification/Registration#rneocs-
iota ized Signature of License Holder �'
; �':ri MMISSES.VIGII efore me this c`�i day of ���� _ 20 +' •
MY COMMISSION r c denwtt Y ' \
r�‘.:P EXPIRES:February 27,2019 V
fl�° bonded Th u Notary Pubk Urderwiters ignature of Notary Pu• is A I_ _ (-.-- • ' 4
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
•
PHONE (904) 247-5855
•
Cashier Id: aspcust\atlblae
•
Receipt Date: 4/22/2016
Receipt Number: 0S-69733
•
Job ID: 16-MECH-937 - HVAC - 1 AC, 1 AHU, 2
TON MIB - Furnaces and Heating $24.00
Job ID: 16-MECH-937 - HVAC - 1 AC, 1 AHU, 2
TON M2 - AC and Refrigeration $16.00
Job ID: 16-MECH-937 - HVAC - 1 AC, 1 AHU, 2
TON MDBPR - State Mech DBPR Surcharge $2
.00
Job ID: 16-MECH-937 - HVAC - 1 AC, 1 AHU, 2
TON MDCA - State Mech DCA Surcharge $2.0
0
Job ID: 16-MECH-937 - HVAC - 1 AC, 1 AHU, 2
TON TP - Trade Permit Base Fee $55.00
Amount Due: $99.00
Tender Information: Check it 5432 $99.00 ,
Tender Type: CI(
Tender Amount: $99.00
Change Due: $0.00