1950 BEACH AVE - HVAC .'s, CITY OF ATLANTIC BEACH
z ' f 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-2007
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 3.5 TON
Estimated Value: $4,000.00
Issue Date: 9/7/2016
Expiration Date: 3/6/2017
PROPERTY ADDRESS:
Address: 1950 BEACH AVE
RE Number: 169526-0000
PROPERTY OWNER:
Name: CLARK, KARIN H
Address: 1950 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: COOLER BEAR HEAT & AIR LLC
, CAC 1818739
Address: 1300 Shetter AVE STE 8207
Phone: 904-923-5665
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 $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
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 ) 6,_ -zCCj 7
JOB ADDRESS: 1450 1e...e4. 4e _ PERMIT#
PROJECT VALUE $ /D O 07 ARI# 7 q,.5-4/6 / 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 / Tons Per Unit _575-
Heat:
SHeat: Unit Quantity / BTU's Per Unit 8,rf1... Seer Rating /4/.0
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
iot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name At/ {r+os: O Phone Number 10q?•92 3""5-645
vlechanical Company Cao * & -t. 9F1,-r- U-C Office Phone- "4 ^ 9'31ax
Fix ..caor-r.
2o. Address: go. 544 A 4'4.20-7 City State F Zip32S�
License Holder(Print): IS r-c-.---4-a n & e o _ State Certification/Registration# C4-4l 'Je 73
Jotarized Signature o Lice • . i 'er ./ls �_ 1
TONT GINOLESPERCER fore me this7 dadr 20 1 (e
MY COMMISSION Y FF 924951 1r dr_ _
W:::,• a EXPIRES:October 6.2019
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.x,; Bonded Thru Notary Pak Underwriters • gnature of Notary Public II