169 Magnolia St HVAC permit 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-1912
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2 TON
Estimated Value:
Issue Date: 8/23/2016
Expiration Date: 2/19/2017
PROPERTY ADDRESS:
Address: 169 MAGNOLIA ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AIR WAVES HEATING AND COOLING
Address: 13230 Maryweather CT
Phone: - -
PERMIT INFORMATION: Sticker for ovemurrent 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 Mach 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 lo-rnec k-'(9
JOBARDWSS: ILQ9 PERMIT#
PROJECT VALUE S ARI# '46q,20'4 ;t REQUIRED
_Air Handling Equipment Only ; ,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 a
Heat: Unit Quantity BTU's Per Unitdl� Seer Rating_
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fine 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 sin month period or work is suspended or abandoned for sic months.I hereby certify that I have coed
this application end know the same to be true and correct All provisions of laws and ordinances goveming this work will be complied with whethm specified or
not. The permit does not give authority m violate the provisions of any other state or local law regulation construction or the performance mconstruction.
Property Owners Name 1rIQ --r(1S" Phone Number �310-"-ldo-d`fo�3
Mechanical Company A tm 1AIA PS icd� (61 ot'.d'G Office Phone90`�-697 tSx
Co. Address: m1.i�City:3.7T StateF7r Zip
License Holder(Print): State Certification/Registration#rA 1 S( n$ 4
Notarized Signatureojliceuse J"er
TONI an0lFarrnaw a ore me this day of 0 O
MY COMISSION a FF 92!951
EXPIRE&Ceebe,a,2019 ignature of Notary Public
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