820 Hibiscus St 16-MECH-1946 HVAC AdIL CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
IV ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
)OB INFORMATION:
Job ID: 16-MECH-1946
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 1 HVAC
Estimated Value: $4,200.00
Issue Date: 8/25/2016
Expiration Date: 2/21/2017
PROPERTY ADDRESS:
Address: 820 HIBISCUS ST
RE Number: 170945-0108
PROPERTY OWNER:
Name: SMITH ET AL, NANCY LEE
Address: 3665 SOUTH NEEDLES HWY 3665 SOUTH NEEDLES
HWY 31 F
GENERAL CONTRACTOR INFORMATION:
Name: AIR SOLUTIONS HTG & COOLING
,CAC3813355
Address: 2575 EDISION AVE QA BRIAN DEWAYNE COTHREN
Phone: -
PERMIT INFORMATION: Stidcer 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 $16.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 946
JOBADDRESS: %$ LO f4wb SCuS PERMIT#
PROJECT VALUE s 49,0o. 00 ARI# '� 92 aQt)9 REQUIRED
_Air Handling Equipment Only 1L-)C1r 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 -2
Heat: Unit Quantity I BTU's Per Unit -;2 Seer Rating
Duct Systems: Total CFM r': 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 QtyAutomobile 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 we 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 �C,fw YYl I Phone Number `19 G— 1334
Mechanical Company PIC 5olu+tyvLS I-FPa-I-Incl7 OODIIYK0 cePhone tel-—1-10 ax 2�-F)—'O�Y,Z—
Co. Address: 54LP P I I i S 2d 5 City 7Gl-y State 1—:1 Zip 3,) S
License Holder(Print): 'GYM °C`FYl State Certification/Registration# eKIC-! I,'�3
-�
Notarized Signature of License Ho/der �K�r
SUZANNE M PLEMONS Before me this day f 20 1(a
nnrI, �
MY commissioNo EE9fi5272 Signature of Notary Public arnrn.i�1lYJcx�rr�'iJ/
EXPIRES February 10.2017
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