1661 PARK TERR E - HVACI
'J
,� CITY OF ATLANTIC BEACH
4‘,
't • 800 SEMINOLE ROAD
91$1! =r 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-1247
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 2 AC. 2 AHU, 6 TON
Estimated Value: $3,600.00
Issue Date: 5/31/2016
Expiration Date: 11/27/2016
PROPERTY ADDRESS:
Address: 1661 E PARK TER
RE Number: 172020-0216
PROPERTY OWNER:
Name: KETTERINGHAM ET AL, BARNEY B
Address: PO BOX 20229 PO BOX 20229
GENERAL CONTRACTOR INFORMATION:
Name: AIR TO AIR
Address: 11578 DAVIS CREEK CT QA JOSHUA S. HOWARD
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 $48.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $135.00
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 Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845 I (a `M Le_ C-( - I 7-4-7
JOB ADDRESS: 1 GG/ /Ar I c/at[ £tsr PERMIT# /6 3s -35 O
PROJECT VALUE $340O" ARI# "3 3 C//,2q ck iT3 65W
(1( REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM�INST Lo____LATIO
Air Conditioning: Unit Quantity a, Tons Per Unit ;y /J ,,
Heat: Unit Quantity 2- BTU's Per Unit3o ee /i
e Seer Rating D
Duct Systems: Total CFM pZ gen, la,p0° REQUIRED
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
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
OTHER:
Permit 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
this 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 not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Sitiod I4rm - Phone Numbef0 6"jI'/2 3,3Mechanical Company 4, hr.*, _T Office Phone 42-x/179 Fax
Co. Address: //S S ,/wui s (:/cl�C` ju if City-To.k. log
StateFi Zip3,22,5h'
License Holder(Print)rjosl. go •` State Certification/Registration#eAG/f/S206
Notarized Signature o +lr; s►rse'Holder ' �r -V
DELENE LOUISE STOI'ER
My COMMISSION.rF029496 •worn and s bscribed befo e this 31 S7 day of20/6
EXPIRES:June 20,2017
n NWV�Nf
.MSignal- • Notary Public___(_/14Li7Q:!ritii