1671 BEACH AVE HVAC PERMIT r: CITY OF ATLANTIC BEACH
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-1472
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 ST FLOOR DUCT SYSTEM AND BATH EXHAUST
Estimated Value: $4,500.00
Issue Date: 6/27/2016
Expiration Date: 12/24/2016
PROPERTY ADDRESS:
Address: 1671 BEACH AVE
RE Number: 169658-0000
PROPERTY OWNER:
Name: GAY TRUST, SHIRLEY W
Address: 1671 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: HAMMOND AIR CONDITIONING INC
Address: 3412 GALILEE RD QA DONALD E HAMMOND
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:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $59.00
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
Ph (904) 247-5826 Fax (904) 247-5845 j(0_�EC� . 4 7Z.,
JOB ADDRESS: fAusL. PERMIT;l#
PROJECT VALUE $ ���: ` ARI# 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
Heat: Unit Quantity BTU's Per Unit 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)
+IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
.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
THER:
IoU�-
mit 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
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
The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
>perty Owners Name— w� es Phone Number
:chanical Company 1ht^0&'AD A%, -&-ti Office Phone'3�-(.utak Fax 35k-Coa��
Address: �41L City ,, �� State Zip 3- 1
ense Holder(Print): State Certification/Registration#_CAC R)C .` so
arized Si nature o
y TONI GINDLESPERGER
'=R MYCOMMiSSION#FF9249fiel re me this day o 20
EXPIRES:October 6,2019
pF Bonded
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Notary Pubfie Und ture of Notary Public