441 ROYAL PALMS DR - HVAC L-Ly,rj6
'zS, CITY OF ATLANTIC BEACH
A 800 SEMINOLE ROAD
._
9 if, "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-1101
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 3 TON
Estimated Value:
Issue Date: 5/13/2016
Expiration Date: 11/9/2016
PROPERTY ADDRESS:
Address: 441 ROYAL PALMS DR
RE Number: 171486-0000
PROPERTY OWNER:
Name: WOODS JR, MARK
Address: 441 ROYAL PALMS DR
GENERAL CONTRACTOR INFORMATION:
Name: ALL CARE MAINTENANCE & REPAIR
Address: 14370 S DEMERY DR TIMOTHY W SHIRLEY
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:
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $83.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
fc- ATLANTIC BEACH
PERMIT RECEIPT
_J\ a� Jli
PERMIT DESCRIPTION: HVAC- 1 AC, 3 TON
PERMIT NUMBER: 16-MECH-1101 PSC)
`N
ADDRESS: 441 ROYAL PALMS DR MphCN
I\COWNER: C\-r1 P� -1\1\1 gEP
DATE ISSUED:
FEES DUE:
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00 ATLANTIC BEAC,FL 32233
05'13 2016 08:49:27
CREDIT CARD
MC SALE
Totals: $83.00 CARD; XXXXX0XXXXX7560
INVOICE 0001
SEQ u: 0001
Batch#: 000317
Approval Code: 000045
Entry Method: Manual
Mode: Online
Tax Amount: ;0.00
Card Code: M
SALE AMOUNT 583,00
CUSTOMER COPY
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 l G - MEC-64 - I (p I
E013 ADDRESS: '7 gr • ba, PERMIT#
PROJECT VALUE $ I.24-0 04 4P° ARI# ?toe, .)O64 REQUIRED
_Air Handling Equipment Only it Handling Unit & Condenser Condenser Only
+iEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 0 Tons Per Unit or
Heat: Unit Quantity BTU's Per Unit Seer Rating agiN
Duct Systems: Total CFM REQUIRED
2EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 377n
Heat: Unit Quantity BTU's Per Unit 3bOD0 Seer Rating /'7
Duct Systems: Total CFM 40 gtr" Ze4 av&y REQUIRED
{IRE 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:
ertnit becomesvoid if work does mithin within a sixmonth period or work is suspended or abandoned for six months.I hereby certify that I have read
Us application and knaw the same to be true and convect. All provisions of laws and ordinances governing this work will be complied with whether specified or
ot. The permit does not give authority to violate the provisions of any other state or local law n;gulution construction or the performance of construction.
'roperty Owners Name "211,24.A. COOP 1 S Phone Number 7041- 7.;•Z,?
ilechanical Company_ate R N)-(6 ^'e c Office Phoneesi/0Aj. Fax
st Re F' 1naG AA SZ, l —CYZzO
'o. Address: 67e) aax SOr�g- _j _.�ct.t 3Zz4 o City 4a State 7 C Zip 341.0-$(4.
.,icense Holder(Print): 71 AN 3/1*4 I El St.ttee Certification/Registration # .`' ,�138ss
CiaC i2,t3 ,55
'.. SUSAN M FRANt� FG
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` i MvcaMMJssioN*FFt03 'ire me this I/7� day of �� /G
\.?o ;: •` EXPIRES March 17,20]t `.
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