831 MAIN ST - HVAC S >>`J\
..,,,,,,
��" �S\ CITY OF ATLANTIC BEACH
- - _ s� 800 SEMINOLE ROAD
JATLANTIC BEACH, FL 32233
\ -, _______P' INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1675
Job Type: MECHANICAL HVAC ONLY
Description: replace one (1) 1.5-ton AHU
Estimated Value: $3,300.00
Issue Date: 7/26/2016
Expiration Date: 1/22/2017
PROPERTY ADDRESS:
Address: 831 MAIN ST
RE Number: 170944-0020
PROPERTY OWNER:
Name: SAPIA TRUSTEE ET AL, PETER C
Address: 1655 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: BROWARD FACTORY SERVICE BFS
Address: 2071 EMERSON ST QA JERRY LEROY BRIGHTWELL
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 $12.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $71.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
600
3 5 ( MECHANICAL PERMIT APPLICATION
6 3 ( CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
3 I Ph (904)247-5826 Fax (904) 247-5845 1 AA L.C. — 1(01-S--
JOB
lo1-SJOB ADDRESS: 445- M a i Vl S4(_e. . PERMIT#
PROJECT VALUE $ 33DO. 00
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYS'T'EM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit ART#�514too{5
REQUIRED 1 t `
H _
Heat: Unit Quantity BTU's Per Unit _ Seer Rating '1Duct 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:
imoimimimiummouninimmoommimmoommonmem
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 he 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.
2
Property Owners Name .itT-e C 561.p1 _Phone Number
Mechanical Company510 we rcQ ft,c+o('q SQ C t1 i c..e., Office Phone334-4,51S-Fax 1 -C, .0
Co. Address:2O 71 Cvl��t'Son S-1. *6 i (v City a. :Sotoi I kr State 'FL-- Zip 3 o7
License Holder(Print): . r Le,.1\ 13( r. At.def' Cert �lS '• 4' = •tion# CAC o5f�7')y
■duo .SOFOf
..
Notarized Signature of License Holder ► . ! A 11111—_...'%-' i r
sworn a : subs.. 'bed betore a this 47 S day a f •.JU ly 20
`ie* MICHELLE K CARLS N store of Notary.Public /�
"-
'' • MY COMMISS,ON p FF
'= EXPIRES Fsbn►aty 14,2020