1957 Seminole Rd HVAC permit �i 11jjj r
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2049
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - DUCT MODIFICATION
Estimated Value: $500.00
Issue Date: 9/13/2016
Expiration Date: 3/12/2017
PROPERTY ADDRESS:
Address: 1957 SEMINOLE RD
RE Number: 169542-0512
PROPERTY OWNER:
Name: BOYLE, JOSEPH F
Address: 1957 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: HAMMOND AIR CONDITIONING INC
,CAC015911
Address: 3412 GALILEE RD QA DONALD E HAMMOND
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:
Air Duct System $20.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 I t/
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JOB ADDRESS: PERMIT# t
PROJECT VALUE$__ ARI#
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
Heat: Unit Quantity BTU's Per UnitSeer Rating
Duct Systems: Total CFM
REQUIRED
FIRE PREVENTION
Fire Sprinkler SystemQuanfi (Requires 3 sets of plans)
Q
Fire Standpipe Quantity
Underground Fire Main Value y (Requires 3 sets of plans)
Fire Hose Cabinets (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
Quantity (Requires 3 sets of plans)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers Bs
LL OTHER GAS PIPINGElevatorsilscalators
Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
THER
mit 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 l have mad
application and know the same to be true and correct. NI provisions of laws and ordinances governing this work will be complied with whether specified or
The pemrit does not give autho�r't wviola[a the provisions of any other state or local law regulation construction or the performance of construction.
Iperty Owners Name '' IIe „ Phone Number
chanical Company HAh-tm-o,4, Q
Office Phone ml-1ai38gax,Izq&_(ep�_
Address: `iyli &ro it, . W City {t r Al State.. Zip
ease Holder(Print): ,,, St Certification/Registration# Nl 1 •Y
arized Signature of LIC
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