1702 ATLANTIC BEACH DR - HVAC ,� '-. ,s' CITY OF ATLANTIC BEACH
c1
, '°` 1'�' ;j j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'r."--/--(35119 '
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1252
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 2 AC, 2 AHU, 5 TON
Estimated Value: $7,400.00
Issue Date: 6/1/2016
Expiration Date: 11/28/2016
PROPERTY ADDRESS:
ii Address: 1702 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCGOWANS HEATING & AIR
Address: 4850 COLLINS RD QA WADE S MCGOWAN
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 $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $127.00
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
JOB ADDRESS: 1O2 AMv' c PLL ` N. . PERMIT#
PROJECT VALUE 5. 511D.°c) ARI# REQUIRED
Air Handling Equipment Only X Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTA LATION
Air Conditioning: Unit Quantity Z Tons Per Unit 3112- 1 1/2 (y
Heat: Unit Quantity 2- BTU's Per Unit Jam, Seer Rating
Duct Systems: Total CFM lax) ( RE UIRED
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 A 1 U\1�\\ ? f \\ cs n Phone Number
Mechanical Company Rl& CAvT \ �G1 X11\V ` C_(:),M.MOPI1Office Phone 2-11) 1 Fax
Co. Address: \' WY\1111 5 M1 w'j Of E City 3-UV-SUN 14 State R-- Zip -6712,5(0
License Holder(Print): he II&. lA, A to Certification/Registration# CAC l21 O iS
Notarized Signature of License Holder '
s DEBRA LYNN SPITZ 'I efore me this \3 day of J t,t v\ e 20 \-�
•r�".`�
j• •` MY COMMISSION#FF168999 \
EXPIRES October 15,2018 ►ignature of Notary Public 1 ,o • r-�.
t5)-ADAy:)--
oc;c;II;loas3 Ftor idallotary
CITY OF ATLANTIC BEA
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845 ( (a_ m 44 _ 1 7J _
OB ADDRESS: flCY2. A%Av' i c 1fULV . )r. PERNIIT#
PROJECT VALUE k A114 .°6 AR!# REQUIRED
Air Handling Equipment Only ,_Air Handling Unit & Co enser Condenser Only
1EW AIR CONDITIONING & HEATING SYSTEM INST TION
Air Conditioning: Unit Quantity 2 Tons Per Unit 3112- 1 i ,+
Heat: Unit Quantity 2- BTU's Per Unit g2,!.. 116, Seer Rating 14 `f
Duct Systems: Total CFM "LOCO /�� RE UIRED
tEPLACEMENT AIR CONDITIONING & HEATING SYSTE INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
'IRE PREVENTION
Fire Sprinkler System Quantity (Requ' 3 sets of plans)
Fire Standpipe Quantity (Requ' 3 sets of plans)
Underground Fire Main Value (Requir 3 sets of plans)
Fire Hose Cabinets Quantity (Requir 3 sets of plans)
Commercial Hoods Quantity (Requir 3 sets of plans)
Fire Suppression Systems Quantity (Requir 3 sets of plans)
TRE PLACES MISCELLANE S:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Conderts r BTU's
# Water Heaters Solar Collection SystOms
Tanks(gallons)
Wells
liS )THER:
:mut becomes void if work does not commence within a six month period or work is suspended or aban, sed for six months.I hereby certify that I have read
is application and know the same to be true ar d 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 To\\ 1 0 �_S Phone Number
techanical Company R k YV �C' 4 OrliVinOffice Phone 2-� Fax
'o. Address: I1:2)? 1\10 tc E City 3QCYAC)YW \\P State F— Zip 3251
license Holder(Print): IhMCA u1G to Certification/Registration# DAC 12&XnS
Totarized Signature of License Hader
iiik 00,
4k,
DEBRA LYNN SPI"R efore me this 1 s4-
day o �.�v� 20'. MY COMMISSION#FF168 ignature of No Public � .o o .� "'11'611-,,, 1' EXPIRE MY
October 15.2018
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(son 398-0159
�loridallotary$�
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