1776 MARITIME OAK DR - HVAC r, ,,
�s f CITY OF ATLANTIC BEACH
- ) 800 SEMINOLE ROAD
j y, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.�J„1)r
4 MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1721
Job Type: MECHANICAL HVAC ONLY
Description: install 3 (3-ton, 2-ton, 1.5-ton) AHUs - NOC REQUIRED
Estimated Value: $12,750.00
Issue Date: 7/29/2016
Expiration Date: 1/25/2017
PROPERTY ADDRESS:
Address: 1776 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
Phone: 904-722-8995
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 $48.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHVAC, INC FAX NO. :9047228944 Jul. 29 2016 10:31AM P2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 b_ c.,-ti _ ("+: •-
Ph(904)247.5826 Fax(904)247-5845
)
JOB ADDRESS: 1 ss. y . •'L
PROJECT VALUE$___11_15 :7____
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Tons Per Unit 3 a r I. 5'
Air Conditioning: Unit Quantity
tBTU's Per Unit 3� Seer Rating /
Meat: Unit Quantityl C000REQS
IDuct Systems: Total CFM c Q
.REPLACEMENT AIR CONDI'T'IONING.&HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per UnitREQU�D►
Heat: Unit Qttatttity _ BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
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 Lifls
Gas Piping Outlets Boilers BTU's
• Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
of Outlets _ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit becomes void if wort:does not commence within a six month period or work is suspended or abandoned for six*wtr+ths.I hereby certify that I!averted
this application and know the same to be tine and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give auth I the to violate the provisions of any other state or local law regulation construction or performance of construction.
Property Owners Name nn L i ` _ / .' Phone Number
Mechanical Company_/ ([/_ IGrs !7� iris c .OfflcePhone7�•a-'t91�(Fax 74)4989
4
Co.Address: eS c u_ g/i , tom;t.c city.J d{fo g;t/ State Zip �.��
License Holder(Print): , .. •• i S e P- I cation/Registration# C 1 51
Notarized Signature of License(folder 4,,i i��
'" DEBRA ANN HOISINGTON Sworn and subscribed before IS I. l s. , {Ail 201/
- °" MV COMMISSION a '� '0
15 201 se Signature of No
EXPIRES October 15 20thY Public
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(11JATLANTIC BEACH
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PERMIT DESCRIPTION: install 3 (3-ton, 2-ton, 1.5-toAAHUs- NOC REQUIRED
Q
PERMIT NUMBER: 16-MECH-1721 ` ' '���6 GN
ADDRESS: 1776 MARITIME OAK DR ���.�'JJ \ \C_,
OWNER: CO l
DATE ISSUED:
FEES DUE:
AC and Refrigeration $48.00
State Mech DBPR Surcharge $2.00
CITY OF ATLANTIC BEACH
State Mech DCA Surcharge $2.00 800 SEMINOLE RD
ATLANTIC BEAC,R 32233
Trade Permit Base Fee $55.00 01.29,;2016 10:56:35
CREDIT CARD
VISA SALE
CARD u XXXXXXXXXXXX7134 —
Totals: $107.00 INVOICE 0001
SEQ ri: 0001 l
Batch 11: 000368 '
'I Approval Code: 090643
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $107.00
CUSTOMER COPY