1704 MARITIME OAK DR - HVAC �� = 1, CITY OF ATLANTIC BEACH
", 0 800 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-1069
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 4 TON
Estimated Value: $6,350.00
Issue Date: 5/9/2016
Expiration Date: 11/5/2016
PROPERTY ADDRESS:
Address: 1704 MARITIME OAK DR
RE Number: None
0
GENERAL CONTRACTOR INFORMATION:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
Phone: 904-722-8995
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHUAC, INC FAX NO. :9047228944 May. 09 2016 09:11AM P2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 1 (,_ M E@{-{ - 1 0 G9
� &v..,Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: )0 i', . ö 0- ,v PERMIT#J 6----S-- --R "7
PROJECT VALUE S. 350!
NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION
Air Conditioning Unit Quantity - Tons Per Unit Ii
Heat: Unit Quantity I BTU's Per Unit J 00 0 Seer Rating 1 J�
., Duct Systems: Total CFM /( 6-0 REQ�
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
AR!#
Air Conditioning: Unit Quantity Tons Per Unit RRQf1)
Heat: Unit Quantity_ BTU's Per Unit Seer Ratin
Duct Systems: Total CFM _ REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value 3 sets of plans)
Fire Hose Cabinets Quantity r=3 sets of plans)
Commercial Hoods Quantity (Requires 3 seas of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lim
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
' .... that I have rc
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six.months.I bey certify'
this application and know the same to be tare and correct All provisions of taws and ordm>ntces governing this work will be complied with whether specified
or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of conatruction-
Property Owners Name R U`?,-s f t_ e$ - Phone Number
A 4-c.,- h f A-C. Office Phone-W- -9g5F� -2 - 3YW
Mechanical Company --"�" C �� � �,,�
tiyJr 1 re,Ce,, a_ SIB;_ y . City z'A-4. ,5byl�,Mc _Sate Zip)J01�.5-
co. Address: g)3��1
License Holder(Print); .r - �•" ' L ,r -t f:vs..•• . .:,a. 1cation/Registration.# C I
Notarized Signature of License Holder -- A•���Sworn and subscribed before metes.'s `7 ' _ day of„ AL 20)4
. a.,,k,_ DEBRA ANN HQIS1NC3TON Signature of Notary Public � _ ` . ,,,
•"'s MY COMMISSION II ES21375t1 /
' ": EXPIRES October 15 2018