384 3rd ST - HVAC j' ' '' \s A CITY OF ATLANTIC BEACH
3.W" 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
\ _______„" INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1453
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5 TON
Estimated Value: $4,891.00
Issue Date: 6/23/2016
Expiration Date: 12/20/2016
PROPERTY ADDRESS:
Address: 384 3RD ST
RE Number: 169800-0000
PROPERTY OWNER:
Name: YOUNG, LINVILLE F
Address: 384 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: AIR MCCALL INC
Address: 6662 S COLUMBIA PARK DR QA DAVID ALAN SALTER
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
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 n , Q
Ph(904)247-5826 Fax (904) 247-5845 I (a- t,\
`I 453
JOB ADDRESS: MY iic1 SIrC 7 " PERMIT#
PROJECT VALUE $ Vere. - ARI#9Y3'7/iL 2 REQUIRED
_ Air Handling Equipment Only 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
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit a•r ,/
Heat: Unit Quantity / BTU's Per Uniti30,000 Seer Rating ��`
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 (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: e/��upd2tf- S- 7/dx_ Ad_r / .e, , ,v_i - CGL S.L4.."--L
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 other state or local law regulation construction or the performance of construction.
Property Owners Name MSL/ �/ le,7 Phone Number�`1,OV 3d'a • %, /6;•Mechanical Company de.A- (7a at Office Phone2/8-6//C Faxdar?• 1 '/ '
Co.Address:‘99(L'.7 -/ (_d Vail c 6.6a.' 44_.4.,4-r. s' • y �G 4O State 9-C ZipJ2
License Holder(Print): JOL lfl AtJ ,.All j it. ; 1ication/Registration#(./ rid, y9fY'/
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
Cashier Id: atlbcid\atlbbja
Receipt Date: 6/23/2016 2:31:33 PM
Receipt Number: 0S-70170
Job ID: 16-MECH-1453 - HVAC - 1 AC, 1 AHU,
2.5 TON M18 - Furnaces and Heating $24.00
Job ID: 16-MECH-1453 - HVAC - 1 AC, 1 AHU,
2.5 TON M2 - AC and Refrigeration $20.00
Job ID: 16-MECH-1453 - HVAC - 1 AC, 1 AHU,
2.5 TON MDBPR - State Mech DBPR Surcharge
$2.00
Job ID: 16-MECH-1453 - HVAC - 1 AC, 1 AHU,
2.5 TON MDCA - State Mech DCA Surcharge $
2.00
Job ID: 16-MECH-1453 - HVAC - 1 AC, 1 AHU,
2.5 TON TP - Trade Permit Base Fee $55.00
Amount Due: $103.00
Tender Information: Cash $103.00
Tender Type: CC
Tender Amount: $103.00
Change Due: $0.00