1201 Gladiola Street HVAC 1-`\j-/
r
; CITY OF ATLANTIC BEACH
'� J 800 SEMINOLE ROAD
J 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
JOB INFORMATION:
Job ID: 16-MECH-1230
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 2 AC, 2 AHU, 4 TON
Estimated Value: $4,300.00
Issue Date: 5/27/2016
Expiration Date: 11/23/2016
PROPERTY ADDRESS:
Address: 1201 GLADIOLA ST
RE Number: None
0
1 GENERAL CONTRACTOR INFORMATION:
Name: LARRY TEAGUE & SONS PLUMBING
0 Address: 203 OCEANFRONT QA ARNOLD GEORGE BENNETT
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 $28.00
AC and Refrigeration $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
4 Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
1 2_0 Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: LAC CPERMIT#
PROJECT VALUE S ,c,110C)0 C.--5C ARI# (032 (,Q REQUIRED
Air Handling Equipment Only vii; Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity 4, BTU's Per Unit__y_jees4,e_ eer Rating /D
Duct Systems: Total CFM (4OoREQUIRED
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
11 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)
IRE 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
Tanks(gallons)
Wells
)THER:
.rmit 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
is 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
>t. 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 l usse- tz-T Phone Number 'g g-0-- 7..
lechanical Company Lictzy s Office Phone):10•229 Fax c)1_461 ,/P.6 9
o. Address: Q.02 B NNI' c 1 Cityk)CP_ t" State V-t. Zip 2 7Z2-L0 tG
icense Holder (Print): _ -.A.N, Bt'CLL YallCl( State Certification/Registration# CAC, 1,81'L08 C1
a;JAI;�OAAQ it 1 G L
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` 14. Notary Public-State of Florida
ca
J+ := Commission•FF 953997 )efore me this c '/t1 -day of A. 1
My Corm.Expires May 15.2020
Bonded flea*National Nolary ass& Signature of Notary Public �G�rktee
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