341 6TH ST - HVAC ', r,1 i1Jf,l f'
_� f �5, CITY OF ATLANTIC BEACH
' _ l 800 SEMINOLE ROAD
-` ,� ATLANTIC BEACH, FL 32233
______)
r) ` 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-1730
Job Type: MECHANICAL HVAC ONLY
Description: installed one new 1-ton AHU
Estimated Value: $2,600.00
Issue Date: 8/1/2016
Expiration Date: 1/28/2017
PROPERTY ADDRESS:
Address: 341 6TH ST
RE Number: 169897-0000
PROPERTY OWNER:
Name: PUGH, DEBRA S
Address: 341 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: AIR TO AIR
Address: 11578 DAVIS CREEK CT QA JOSHUA S. HOWARD
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 $8.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $67.00
PERMIT 1S APPROVED ONLY IN ACCORDANCE WITH Al.l. 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 I tA_IkAb C“ _ Or30
JOB ADDRESS: 3.11 ( t-Wn 5 '& t PERMIT#
PROJECT VALUE $ Ot.,Q 00. 00 mutt -i4 12315 REQUIRED
Air Handling Equipment Only ✓ Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit
Heat: Unit Quantity I BTU's Per Unit j 2161)b Seer Rating 21 . 5
Duct Systems: Total CFM 4-00 REQUIRED
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.
JIm LLitCW � q0t -VOW-�2`
Property Owners Name PhoneNyyu��mber ��
Mechanical Company 1 v f Y 1 1 (\C- Office Phone 1 4-20 Fax cL ( at 2-0/1
Co. Address: ` 15/ 2s DOM. c CA-eek ri. City_j A(',>Kl LYWI I("State L Zip 32-2-51,0
, 1
2-2-S 0tt
License Holder (Print): /12- 0e-__
State Certification/Registration#GSC 6 b-I,AL
Notarized Signature of License Holder kk i
ibt-4
A TERBSA L.MUELLER Before me this I sr day of ' ."c1 u s-1" 20 IC(
y� MY COMMISSION r FF103038 Signature of Notary Public 3
�d EXPIRES:Mand,17.2018