395 12th St HVAC permit � 'raj IyL`J jr�
CITY OF ATLANTIC BEACH
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-2085
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 2 AC, 2 AHU, 4.5 TON
Estimated Value:
Issue Date: 9116/2016
Expiration Date: 3/15/2017 --
PROPERTY ADDRESS:
Address: 395 12TH ST
RE Number: 171922-0000
GENERAL CONTRACTOR INFORMATION:
Name: MARCO HEATING AND AIR
,CAC1815711
Address: 720 MILL CREEK RD BARRY CAMPBELL
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 $28.00
AC and Refrigeration $36.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $123.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
F
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: J `U— 9�1t, PERMIT#
� ^^ ARI# $a 1 13 IF
PROJECT VALUE$� �l�J L-�,�lo�Q REQUIRED
_Air Handling Equipment Only )LAir Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unit 15* 3.0 1
Heat: Unit Quanuty� BTU's Per Unit�(4woSeer Ra
Duct Systems: Total CFM 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:
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 previsions of laws and ordinances governing this work will be cemplied 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 p(A` ifi 1 RLIAAP.YS Phone
�Number , 1
Mechanical Comi�naany 'C , O\ffice,Phone l�Llg3-r"�'lua�
Co.Address a c) 1 Nut t C \ i City�_StateR,Zi 0D7 I
License Holder(Print):�i JIQ'(Y1I l 'amo U State_Certifica ' n/ 'stration# I
Notarized Signature ojLicen.se Ho�7 er
TINA DAWN NEYMEN Before me this da o��20
NOTARY PUBLIC
STATE OF FLORIDA Signature of Notary Public
CorntN FF170295
1 Expires 10/2117018