1529 JORDAN ST HVAC PERMIT ri'11iJ j,,
o CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
JL'19:.
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1379
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5
Estimated value: $5,715.00
Issue Date: 6/15/2016
Expiration Date: 12/12/2016
PROPERTY ADDRESS:
Address: 1529 JORDAN ST
RE Number: 172298-0500
PROPERTY OWNER:
Name: NORTH, ANDREA
Address: 1529 JORDAN ST
GENERAL CONTRACTOR INFORMATION:
Name: ONE HOUR AIR
Address: 1015 ATLANTIC BLVD APT 249 OA CRAIG FARRELL EDDY
Phone: 904-241-3107
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
Trade Permit Base Fee $55.00
State Mach DCA Surcharge $2.00
Total Payments: $103.00
PERMIT L APPROVED ONLY M 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 Ph(904) 247-5826 Fax(904)247-5845 - m F e(4 - 3 7 q
JOB ADDRESS: LN2- Iq )CR LPzK) 27 PERMTT# /
PROJECT VALUE $ Jr�—(� rj ARI# -79957/ 3 REQUIRED
_Air Handling Equipment Only -XAir Handling Unit& Condenser _ Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per UnitSeer Refine
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ) Tons Per Unit 2� S 1�
Heat: Unit Quantity I BTU's Per Unit ZfS-- 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
DTHER:
'ermit 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
his application and know the same to be one and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
Lot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name Phone Number 0 37-8 7 32
dechanical Company Office Phone Ott-3)0-7 Fax Z9--I-ST Z QQ
:o. Address: Q:V Rk City._ State-Zip 3zz-:j
,iceuse Holder(Print): \C S e c 'on/Regis n# C_S�R 1442p
lotarized Signature of License Halder
,".,'+.,wa Bn7yAltymo�IAm Before me this_ d IV
W COWISSION WO"
EXPIRES-August 27,2D17 Signature of Notary Public
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