490 LEVY RD - HVAC -S .,.,'aJvi ,
`)" ' '' ., \ � CITY OF ATLANTIC BEACH
- J 800 SEMINOLE ROAD
K `" 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-1543
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AUH. 2.5 TON
Estimated Value: $6,868.00
Issue Date: 7/8/2016
Expiration Date: 1/4/2017
PROPERTY ADDRESS:
Address: 490 LEVY RD
RE Number: 171074-0000
PROPERTY OWNER:
Name: RUSSELL, MERVYN
Address: 1308 N 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: TCI MECHANICAL INC
Address: 2331 SEMINOLE RD TONY LATTRELL COX
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 $24.00
AC and Refrigeration $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
4 Total Payments: $103.00
ll PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
()'4° 1 � —M Ce�-1-i 543
JOB ADDRESS: 7' �ez/7PERMIT#
PROJECT VALUE$ �g6S' �v
, ARI# 305 y ' S 7 REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit a-s
Heat: Unit Quantity I BTU's Per Unit Jo,000 Seer Rating /Y' S
Duct Systems: Total CFMREQUIRED
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)
P IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
,LL OTHER GAS PIPING Elevators/Escalators
Heat Exchanger
Quantity of Outlets
s
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
THER:
mit 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
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
The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
>perty Owners Name NA0,Y 7:-c-4/<s Phone Number 9-$0202cl - 83S e
:chanical Company ler me,'c 4,V 'ra C T,✓c,
Office Phone 9d/5-11/2"" Fax iveAve
Address:ht a/74.,2-.9'„., R. G`4s!-
City,- ,h. '-e- Statfc Zip 322 33
ense Holder(Print): 4 Gax State Certification/Registration# Cmc/21-,36 2
arized Signature of Licen , - • .i ��
\.0 ,,•��,,... pN1 GINDLESPERGER `` (to
'r my'COMMISSION t FF 924958e it•re me this 8 day of J U
'i ^” 1-1 EXPIRES:October 6,2019 a �' (20
-�' Thra Notary Put*Und - i�ture of Notary Public
Bonded - - Q�
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