2277 SEMINOLE RD #L HVAC PERMIT 'rS 1.-1,Jll
CITY OF ATLANTIC BEACH
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-1373
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 5 TON
Estimated Value: $8,300.00
Issue Date: 6/14/2016
Expiration Date: 12/11/2016
PROPERTY ADDRESS:
Address: 2277 SEMINOLE RD UNIT L
RE Number: 168344-0120
PROPERTY OWNER:
Name: UNDERWOOD, ANTHONY LEON
Address: 2277 SEMINOLE RD APT L
GENERAL CONTRACTOR INFORMATION:
Name: IDEAL CONDITIONS HEATING &
Address: 5971 -5 PO POWERS AVE CLIFFORD D SNELL
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 $40.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $123.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ATLANTIC BEACH
r PERMIT RECEIPT
PERMIT DESCRIPTION: HVAC- 1 AC, 1 AHU,5 TON
PERMIT NUMBER: 16-MECH-1373 pPSO
ADDRESS:2277 SEMINOLE RD UNIT 14 m%
X 0A 14
OWNER: G
DATE ISSUED:
FEES DUE:
Furnaces and Heating $24.00
AC and Refrigeration $40.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00 CITY OFATNNTIC BEACH
BOO SEMINOLE RD
Trade Permit Base Fee $55.00 ATLANTIC BEV,R.32233
06/142016 16;54;18
CREDIT CARD
Totals: v'SALE
$123.00 CARD A XVZYXXX7XXS405
INVOICE 0002
SEQ p: 0002
Balch#: 000336
JpprDral Code: 924044
fn0y mAdw: Maual
Onhm
Taxk0A. $DAO
Card CD*: M
SALE AMOUNT $02
CUSTOMER COW
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JoBADDRESS: OD1 -1 5rminCie. R6. tlkflt PERMIT#
aaa33
PROJECT VALUES `G 100 00 ARI# l 4 d ICK 9 REQUIRED
_Air Handling Equipment Only _LAir 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 1 Tons Per Unit J
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of outlets Pumps
fng
# Vented Wall Fumaces Reerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if woh does not commerce within a six month period or work is suspended or ahmumcd for sin months,i henAp cenifi that I have reed
this application and know the same to he we and correct. All provisions of laws and ordinances governing this work will l e complied with whether specified or
mi. The permit does rmt give athorn,to violate the provisions of any other state or local law regulation construction or the performance orconstnwtion.
Property Owners Name - n i NL' :i G3(j Phone Number au4' O4) -� _
MechanicalCompanyjon-Q TIC Office Phone 3 -8710 ax7A-7-6940
Co. Address: Er) �-,b'Jv Ct" City .LAP I Statel L Zip 3,30Il
License Holder(Print): "C tate Ceni gistration# �rv`C.
Notarized Signature of License Holder
maalslelwk Before me this f 20 �(o
ES: VM 1a a119 Signal=of Notary Public
�R.. �a anx ihu lkYyFurt LMewV�