201 MAGNOLIA ST - HVAC CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
J ;r 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-2030
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 3 TON
Estimated Value: $8,000.00
Issue Date: 9/9/2016
Expiration Date: 3/8/2017
PROPERTY ADDRESS:
Address: 201 MAGNOLIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: REGISTER'S HEATING & AIR CONDITIONING INC
, CAC 041267
Address: P.O. BOX 6739
JACKSONVILLE, FL 32236
Phone: 904-384-2862
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 $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
AC and Refrigeration $24.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
J ', ° S, CITY OF ATLANTIC BEACH
'' A s 800 SEMINOLE ROAD
v ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 1 C9 "TA GC' (- 203 0
JOB ADDRESS: 2o 1 l 1P & J V. A PERMIT# /6" e•4215
PROJECT VALUE$ OO 6v ARI# —1SS Z-J(;,0 S (4 REQUIRED
Air Handling Equipment Only c/Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 1-CgCCO l "a- +eta-4 3 A-c'
Heat: Unit Quantity a BTU's Per Unit—VT—ill Seer Rating 14
Duct Systems: Total CFM )'Acn 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:
'ermit 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
his 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
lot. The permit does not give authori to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name Li O A---11^0 M4 S wnei k S Phone Number
dlechanical Company e3,i P C /14)9"(71 �C. Office Phone 3Y ? /a2Jax .3 O22?
(n� / ea Zip3
:o. Address: Pb C��sC'V3 J City �� Stat . '�!2
License Holder(Print): ,'S State Certification/Registration# CR COY/X o7
dotarized Signature o Lic', • • • '
�G;,��y, TONI GINDLESPERGER � 2 I
`, MY COMMISSION i FF 9249Be ire me this ( ay ., a !I
EXPIRES:October 6,2019 Q`
L.:..:11-.:4
:ture of Notary Public
'•kf;Gid;•• Bonded Tim Noa7 Public Unde _V F•_: or-
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