962 OCEAN BLVD - HVAC (2) i-
, � , CITY OF ATLANTIC BEACH
�� 800 SEMINOLE ROAD
J _ __;) ATLANTIC BEACH, FL 32233
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-2025
Job Type: MECHANICAL HVAC ONLY
Description: replace 2.0-ton AHU
Estimated Value: $3,800.00
Issue Date: 9/9/2016
Expiration Date: 3/8/2017
PROPERTY ADDRESS:
Address: 962 OCEAN BLVD
RE Number: 170343-0100
PROPERTY OWNER:
Name: WAIT III,BENJAMIN W & SHIRLEEN, *
Address: 962 OCEAN
GENERAL CONTRACTOR INFORMATION:
Name: DONS AIR CONDITIONING INC
, CACO25454
Address: 2403 KELLOW CIR QA DONALD ANTHONY CICALE
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 $20.00
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION l
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
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Ph(904) 247-5826 Fax(904) 247-5845 16 — ab
JOB ADDRESS: / Ali /u OCaA a . ,4ii. 6_e4,4 � g14.g3 PERMTT#
PROJECT VALUE $ 3 go® ARI# S 42 4? I 1 ? REQUIRED
Air Handling Equipment Only '/C CAir Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATIN. _ . ' ' --. -:":,-TION
Air Conditioning: U . tity Tons Pe
v
Heat: Unit Quanta - - _ Seer Rating
Duct Systems: Total CFM REQUIRED
/
,REPLACEMENT IR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit --7 -
�� . Seer Ratingl
Heat: Unit Quantity I BTU's Per Unit (?
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: Cie) o2-7o•, G0-3 c ' ' iI iL 04-
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Permit
.-u-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 6-60- o' t Phone Number t?- 9 go
Mechanical Company )0 N 1S Ai' C J 6,L Office Phon C 3 `/7 Fax 3 9 EC-0 7 2.6
Co. Address: ;"(43 d PC e-Lt'd`J C i KLL t- City 0- State AL Zip 3 1:216
License Holder(Print): b6 ^fM-°° A- Cl GIS t.0 State Certification/Registration# CA-66 2--S(1-C-Lf
Notarized Signature of License Holder
a'a f
Notary Public State of Florida Before me this 7 day of ��A 7 20 7f
D Smalwood
, ,1 Pit:::mission FF 082925 Signature of Notary Public „-`_
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