363 ATLANTIC BLVD #8 HVAC PERMIT CITY OF ATLANTIC BEACH
j 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
IOB INFORMATION:
Job ID: 16-MECH-1345
Job Type: MECHANICAL HVAC ONLY
Description: 1 AC 1 AHU 3 TON
Estimated value: $3,900.00
Issue Date: 6/13/2016
Expiration Date: 12/10/2016
PROPERTY ADDRESS:
Address: 363 Atlantic BLVD Suite 8
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: SCOTT AIR OF FLORIDA
Address: 9556 S HISTORIC KINGS RD APT 306 CA RYAN
CHRISTOPHER SCOTT
Phone: -
PERMIT INFORMATION: Sticker for overcurrent protection must be an A/C equipment prior to
inspection. Failure to comply will result in a failed inspection and reinspect fees. No
exceptions.
FEES:
Furnaces and Heating $20.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
Trade Permit Base Fee $55.00
State Mach DCA Surcharge $2.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND LOU FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS:— � j'G NIA PERMIT#
PROJECT VALUE$ r:�Roo _ 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 Retina
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity—__L_ Tons Per Unit &0 ''``
Heat: Unit Quantity I BTU's Per Unit—%, Seer Rating �7•[)
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 pleas)
Fire Suppression Systems Quantity _. (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
ALL OTHER GAS PIPING Elevators/Escalators
Heat Exchanger
Quantity of Outlets pay
#Vented Wall Furnaces Refris BTU's
Condenser BT
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not commencewmthm a six month period or work is suspended or abandoned for six months.I hereby certify Met 1 have read
this application and know the Name to be rose and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. trine permit does rut give authority to violate the provisions of my other stare or local law regulation construction or the performance of construction.
Property Owners Name ^ Phone Number _
Mechanical Company —�7"f p� }/��d •dq Office Phone�i__q Za
FaxMgc
Co.Address: _- 5 city, G l-C State rt. Zip
License Holder(Print): _. L' 7
State Certification/Registration# Cf�CjY$li2
.Notarized Signature of License Holder
' \:27—
RTLEY Before me this ` day o 20 \kD
F0a9m 2 Y"rrt�--'----
,� 7.201] Signature of Notary Publ'
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