3401ST ST HVAC PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
I ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALLBY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1620
Job Type: MECHANICAL HVAC ONLY
Description: replace one (1) AHU 2.5-tons
Estimated Value: $4,950.00
Issue Date: 7/19/2016
Expiration Date: 1/15/2017
PROPERTY ADDRESS:
Address: 340 1ST ST
RE Number: 169743-0000
PROPERTY OWNER:
Name: KLEIN ET AL, ELIZABETH
Address: 3661 SW THISTLEWOOD LANDE 3661 SW
THISTLEWOOD LANDE
GENERAL CONTRACTOR INFORMATION:
Name: COOL R US
Address: 6900 PHILIPS HWY SUITE 46 LEK GJOKA, QUALIFIER
Phone: 904-281-2108
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:
AC and Refrigeration $20.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
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 [leach. FI. 3_1"_'33
Ph (9119) '47-58261 as (9( 4) 247-�84?
-Sm ADDRESS:i �-t: ibm" \-C 12Z. ERM IT#
PROJECT VALUE $ _ .IRI# r I _REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser —Condenser- Only
JEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: , knit Quantih' _..__._ Rl't�'s Pcr l init _ Seer Rating
Duct Systems: 'total CFNI ..___ REQUIRED
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: I LiQuantitp Ions Pet knit
licat: Unaitr Quantity 1311,i's Pcr I tut _ Seer Rating
Duct Systems: Total CPM ._ R Q1-RED
'IRE PREVENTION
Fire Sprinkler System Quantile _ (Requires 3 sets of plans)
Fire Standpipe 01.1111110N (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantih _. (Requires 3 sets of plans)
Commercial Hoods Quaint% _ --- (Requires 3 sets of plans)
Fire Suppression Systems Quantih _ (Requires 3 sets of plans)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lilts
Gas Piping Outlets Boilers 1311"s_
FleyaurrsrFscalators
ii OTHER GAS PIPING Ilcat I[Xchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refit tperator Condenser BTU's
9 Water Beaten Solar Collection Systems
I anks(gallons) _
Wclls
)THER: \
,,,nn hcconms roil il'wmk Joe,not e,n... c,,ithin a sis month periot or work in stislwndeJ or abandoned for sig months. I herchy eenifi that I have rea
.i.;;pplicatian end knon the.;nnc m he vue and curre.;. .\II pnn..ien.o1 In...un.l enlin:nice.gds en;inp it.i,,,ork,,ill he con;ptwd with whether specified
e;. the permit Jyy�msc ;thnrin �` II` �I; et aen calla;. il;f n.onaiu ( ntb. col'.on
'ropeny Own\L'r�s�`jsm�� �-may^t�
Phone
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1echanical Compmi� l-Y- _) ___- Utllce Phohc� IQ O 44
WA'o. Address: �LV\\\ _ C. _ C'itl.�SC Stutc�/itpl�,yb'{�Q
,icense Holder(Print): 1 __ _ State C'crtilicationIRcgistration tkoJ amu(`{/'
ore o Lic•eusr Holder
+ 441 PATRICIA A STARK
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