274 W 9th St HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-, INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NE%T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2056
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2 TON
Estimated Value: $2,361.00
Issue Date: 9/13/2016
Expiration Date: 3/12/2017
PROPERTY ADDRESS:
Address: 274 W 9TH ST
RE Number: 170945-0120
PROPERTY OWNER:
Name: ATWELL, RUTH ANN
Address: 274 W 9TH ST
GENERAL CONTRACTOR INFORMATION:
Name: UNITED AIR TEMP A/C & HEATING
,CAC1816478
Address: PO BOX 6300 PO BOX 6300
Phone: -
PERMIT INFORMATION: Sddcer 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 Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 Co_ )vnEc toe- Z o,5 G
JOB ADDRESS: 274 W. 9TH ST., ATLANTIC BCH., FL 32233 PERMrf#
PROJECT VALUE$ 2,361.00 ARI# 7994956 REQUIRED
_Air Handling Equipment Only XX 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 2
Heat: Unit Quantity 1 BTU's Per Unit 17K/5KW Seer 14/12
Duct Systems: Total CFM 7,20 REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 seta of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plana)
Fire Hose Cabinets Quantity (Requires 3 sets of plana)
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 bxomes void tf work does not commence wither a se,month pcnod err work is wspended or abandoned for sue months.I hereby certify that I have road
this application and know the same in be tore and ccr u All provisions of laws and ordinances governing this work will be complied with whether specified or
not The permit does not give authority to violas the provisions of my other smile or local law resolution construction of the
pMomance of cmatnmctiao.
Property Owners Name RUTH ATWELL Phone Number 904-708-1635
Mechanical Company UNITED AIR TEMP CONDITIONING 8 HEATING OF FLA.,ING MCe phone 686-7118 Fax
Co.Address: P.O. BOX 6300 City SPRINGFIELD State VA yip 22150
License Holder(Print): MICHA RD NO J R . State Cer ifreation/RegismI# CAC1816478
Notarized Signature ofLieease Holder �. -.---...
'''���yyy... Noun Public suce or rroraa Beforeme this day of 20 1 �2
,+' JamespaeMitchell Branca
MyCommisrianEE940109 Signature of Notary Public
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