350 4TH ST HVAC -!y _iv
�''� �, CITY OF ATLANTIC BEACH
t ~ ' ) 800 SEMINOLE ROAD
0! ___.)
"r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
�Ji319
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -MECH -1006
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2 TON AND DUCT WORK
Estimated Value: $7,000.00
Issue Date: 5/2/2016
Expiration Date: 10/29/2016
PROPERTY ADDRESS:
Address: 350 4TH ST
RE Number: 169821 -0000
PROPERTY OWNER:
Name: HILL, MARJORIE FREDERICKA
Address: 350 4TH ST
GENERAL CONTRACTOR INFORMATION:
Name: TROPIC HEATING & AIR
Address: 750 MAYPORT RD QA CHARLES J MARKS.
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 BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 ` O
Ph (904) 247 -5826 Fax (904) 247 -5845 1 G - MEZB'
JOB ADDRESS: ICC' f"- PERMIT #
PROJECT VALUE $ , 70600 ARI # e Z g 24/ D REQUIRED
Air Handling Equipment Only )C Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
QUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM E M INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit
Heat: Unit Quantity / BTU's Per Unit S S eer Rating REQ /V- 0
Duct Systems: Total CFM
FIRE PREVENTION Re
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty _ Automobile Lifts
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: ,L c/` 4 '' /1w4r
Permit 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
this 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
not. The permit does not give authority to violate the provisions of any o er state or local law regulation construction or the performance of construction.
�
Property Owners Name /`Yap,, 410204*- Phone Number
�- Office Phone2 1 7��Fax - `F( 'A o`
Mechanical Company vi C C
Co. Address:
750 c \ 414 1 City nit. CCl State FL Zi?
License Holder (Print): _.) ' ' S State Certification/Registration # Ca0:15
"! r "n'� AMY O'GRADY
. •= N otary Public - State.ot ROW Ore me t 4 • day
20 / (o
„ My Comm. Expires Fob 17, 2017
;, Commission • EE 8754S�i s ature of Notary Public
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