142 SYLVAN DR - HVAC �- �� CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1823
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU. 2.5 TON
Estimated Value: $3,200.00
Issue Date: 8/10/2016
Expiration Date: 2/6/2017
PROPERTY ADDRESS:
Address: 142 SYLVAN DR
RE Number: 170646-0000
PROPERTY OWNER:
Name: DANSER, ELOISE B
Address: 3536 N UNIVERSITY BLVD STE 174
GENERAL CONTRACTOR INFORMATION:
Name: LARRY TEAGUE & SONS HEATING
Address: 203 OCEAN FRNT KATHY BROWNING
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
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Vis " - ATLANTIC BEACH
PERMIT RECEIPT
PERMIT DESCRIPTION: HVAC- 1 AC, 1 AHU, 2.5 TON
PERMIT NUMBER: 16-MECH-1823 ?ND
ADDRESS: 142 SYLVAN DR iku� \ Q Vi$
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OWNER:
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C1�Y
DATE ISSUED:
FEES DUE:
Furnaces and Heating $24.00
AC and Refrigeration $20.00
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State Mech DBPR Surcharge $2.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD —
State Mech DCA Surcharge $2.00 ATLANTIC BEAC,FL 32233
08 10,2016 16:21:24
Trade Permit Base Fee $55.00 CREDIT CARD
VISA SALE
CARD a XXXXXXXXXXXX7647 —
INVOICE 0004
Totals: $103.00 SEQ if: 0003
Batch 4: 000376
Approval Code: 052121
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE AMOUNT $103.00
CUSTOMER COPY
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CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 , (0 -(\EC H ., 18 23
Joe ADDRESS: 142 SYLVAN DRIVE PERMIT#
PROJECT VALUE$3200.00 ARI#_5919011 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
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 2.5__
Heat: Unit Quantity 1 BTU's Per Unit Seer Rating 13
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.
Property Owners Name ELLIE MARS Phone Number 904-614-4275
Mechanical Company LARRY TEAGUE&SONS Office Phone 904-270-2289 Fax904-249-8269
Co. Address: 203 OCEANFRONT City NEPTUNE BEACH State FL_Zip 32266
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License Holder(Print): KATHY BROWING State Certification/Registration# I ?I 6£3 s
Notarized Signature of License Holder C &AI
„�� MELANIEA.DARLINGTONme this day �S 20
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Ni Notary Public-Stale of Florida ••
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