5112 POLARIS CT - HVAC S i\i`J
`' `' �\ CITY OF ATLANTIC BEACH
%
e J 800 SEMINOLE ROAD
.- ,4.\ �)
"'" ` - _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-1924
Job Type: MECHANICAL HVAC ONLY
Description: replace one 3.0-ton AHU
Estimated Value: $3,200.00
Issue Date: 9/1/2016
Expiration Date: 2/28/2017
PROPERTY ADDRESS:
Address: 5112 POLARIS CT
RE Number: LOC ID-0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
--- ------- -----------
GENERAL CONTRACTOR INFORMATION:
Name: AIR PRO MECHANICAL OF N FL LLC
, CMC1249686
Address: 1008 COUNTY RD MICHAEL SEAN HICKMAN
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 $24.00
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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 Icy-M1°f a (
(g-mat-f. -
JOB ADDRESS: Si 12 ?1()) 14-165 C . PERMIT#
PROJECT VALUE $ 3200 • ARI# $'U7 100 REQUIRED
Air Handling Equipment Only V 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 3
Heat: Unit Quantity 1 BTU's Per Unit ,'L IC Seer Rating lq
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:
'emit 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
tot. 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 n/E e l�ioj1JA Phone Number 2c/( - 55 fat'
vlechanical Company 4M- egO McCA i, 041 Office Phone 2f9-4.f9/Fax
:o. Address: /D0' c,/2- 2/7 City /46'07//4- State /� Zip 3223!/
.icense Holder(Print): cab tieklnthr/ J ate Certification/Registration# CMC/2 V/TGJ
Votarized Signature of License Holder
LTOM GIN espERGE o. me this 7,5_day o 0
MY COMMISSION Y FF,zq w
EXPIRES:OctoberU qts a„ re of Notary Public CEJ c\/
Bondod Thm Notary Pubic U