292 16th St HVAC permit rSl
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
3 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-2048
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 1.5 TON AND DUCT WORK
Estimated Value: $8,000.00
Issue Date: 9/13/2016
Expiration Date: 3/12/2017
PROPERTY ADDRESS:
Address: 292 16TH ST
RE Number: 170385-0000
PROPERTY OWNER:
Name: HANDLEY, CHARLES & DIANE,
Address: 292 16TH ST
GENERAL CONTRACTOR INFORMATION:
Name: HAMMOND AIR CONDITIONING INC
,CAC015911
Address: 3412 GALILEE RD CIA 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:
Furnaces and Heating $24.00
AC and Refrigeration $12.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITR ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
Py 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORHIA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 I(o _A1EC K_ ZOq- V Q
JOB ADDRESS: ,2, )„ ,(g PERMIT#
PROJECT' VALUE$ AJU# -1113yZ3
REQUIRED
Air Handling Equipment Only Air Handling Unit& Condenser — Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_� Tons Per Unit I- 5
Heat: Unit Quantity�_ BTU's Per Unit Imo_ Seer Ratin¢ S
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 angREQUIRED
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 (Requires 3 sets of lana
Quantity
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
LL OTHER GAS PIPINGElevators/Escalators
Quantity of Outlets Heat Exchanger
#Vented Wall Furnaces Refrigerator
#Water Heaters Refrigerator Condenser BTU's
Solar Collection Systems
Tanks (gallons)
Wells '
THER: 12SA �
t
ndt 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 reed
application and know the same to be true and correct. All provisions oflaws and ordinances governing alis work will be complied with whether specified or
The permit does not give authority to violate the provisions ofany other state or local law regulation construction or the perfomuance of construction.
iperty Owners Name Phone Number 2-SS cYort
chanical Company (� mm Q; Office Phon '6Ub Fax 2ft -rias
Address:
City u�6- State Zi Z2A 7
ease Holder(Print): r ph+-o State erification/Registration#
arized Signature o Li
i{ TONIGIdplE3PEPGER
ur co,unlsslos+Fe%1f'o me this ..aay of 20
- EXPIRES:ect0bu 6.2019
W&dr""a°""a,u eofNotary Public
I