589 VIKINGS LN HVAC PERMIT ]r
Jv�
It CITY OF ATLANTIC BEACH
j 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-1451
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 4 TON
Estimated Value: $4,500.00
Issue Date: 6/23/2016
Expiration Date: 12/20/2016
PROPERTY ADDRESS:
Address: 589 VIKINGS LN
RE Number: 170703-0240
PROPERTY OWNER:
Name: SUMMERS, RONALD
Address: 589 VIKING LN
GENERAL CONTRACTOR INFORMATION:
Name: WHITLEYS HEATING AND AIR LLC
Address: 6299 -16 P POWERS AVE RAYMOND M WHITLEY
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
- CITY-OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
q / Ph(904) 247-5826 Fax (904) 247-5845 33 (Y,5(
JOB ADDRESS: �� I V
1 _PERMIT#
PROJECT VALUE$ _ /�QQ ~ Q ARI# —REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & VWG SYSTEM INSTALLATION
Air Conditioning: Unit QuantiTons Per Unit AuantiHeat: UnitQ tYBTU's Per Unitgoo 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)
SIRE 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
i
Tanks (gallons)
Wells
THER:
mit becomes void if work does not commence within a six monthperiod 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 !! Q/1 St/h,m&LA Phone Number 90 y
;chanical Company 1 ��( � Office Phone 33^YgS�ax
Address: cu City 3- StateFt Zip -7
ense Holder(Print): Acvmo State ertification/Registration#C2/,91/z elgl
`arized Signature of License Holder
Before me this day of 20
Signature of Notary Public