328 N Oceanwalk Dr 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 NE)(T DAY INSPECTION: 247-5814
306 INFORMATION:
Job ID: 16-MECH-2103
Job Type: MECHANICAL HVAC ONLY
Description: replace 2.0-ton AHU
Estimated Value: $4,774.83
Issue Date: 9119/2016
Expiration Date: 3/18/2017
PROPERTY ADDRESS:
Address: 328 N OCEANWALK DR
RE Number: 169463-1560
PROPERTY OWNER:
Name: MENKEN, AMY AND JAMES,
Address: 328 OCEANWALK DR
GENERAL CONTRACTOR INFORMATION:
Name: WAYCHOFFS AIR CONDITIONING
,CAC1813879
Address: 6929S PHILLIPS PARKWAY DR QARICHARD
WAYCHOFFS
Phonw.
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 $20,00
AC and Refrigeration $16.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND ME FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: "5.00
PERMIT IS APPROWD 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
JoBADDREss: �372-5�
PROJECTVALUES ARI REQUIRED
Air Handling Equipment Only _tAir Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit t-�
Heat: Unit Quantity BTU's Per Unit Seer Rating_�
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 2- ) <D/
Heat: Unit Quantity I BTU's Per Unit — Seer Ratiniz 10
Duct Systems: Total CFM 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 Qty_ Automobile 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 Hearers 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 one 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 previsions of my other sure or local law regulation emammuction or the performaucc of construction.
Property OwnersNameNn-yV�L-', V- Phone Number D-1-7 6-7 S Z--
Mecharacal Company ��OPJC-�.A-C�, Office PhonQ&K6�ZFax
Co. city T-a��c StaJ7-C Zip:��.'�
License Holder(Print): State Certification/Registration#Ojc�gl i?:9
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public
I MECHANICAL PERMIT APPLICATION
15614FAT-4111
JOBADDRESS:
*Pursuant to F.S. 553.721 &F.S. 468.631, a surchargefee will be collected on anypermif regulated under the FBC*
VALUE OF WORK $ J-1--i 4 , 8:�)
AIR CONDITIONING,HEATING & DUCTWORK INSTALLATION
Air Conditioning: Total Tons SEER/EER Rating
Heat: Number of Units
Duct Systems: Total CFM's
FIPEPREVENTION (Plan Review Required) OFFICE USE ONLY
Fire Sprinkler System #of Heads (Submit 3 sets of plans)
Fire Standpipc Quantity — (Submit 3 sets of plans) CROSS CONNECT FEE
Underground Fire Main Value $ (Submit 3 sets of plans) LJ$35-Well 2 inches or less
Fire Hose Cabinets Quantity — (Submit 3 sets of plans) I
Commercial Hoods Quantity _ (Submit 3 sets of plans) LJ$200-WeJ],2 inches or more
Fire Suppression Systems Value $ (Submit 3 sets of plans)
FUZE PLACES MISCELLANEOUS
Ptrefabricated Fireplace Qty— Automobile lifts
Gas Piping Outlets QtY — Boilers (BTU's)
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Gas Piping Outlets Qty— Pumps
Vented Wall Furnace Qty— ReffigeratorCondencer(I)TU's)
Water Heater Qty— Solar Collection Systems
LP or Gas Tank(gallons)
WELL (Boundary Survey or Drawing detailing thefollowing information is Required)
Purpose GPS Coordinates Latitude: Longitude:
Sim Diameter/Depth in x ft Well Cuing Depth ft Well Casing Material
****&IRWD Well Completion Form to be submitted to the Building Department prior to final inspection
****Sepmte permit(s)required from Duval Comty****
OTHER
Permit bc�mucs void ifwmk is not done during six month period. I herebytertify that I have read this applicatim and know the sum to be me andcorret.
All provisions orbiters and ordinsmes governing this work will be ccomplied with whether specified or mt. The permit does not give authority to violaw the
previsions ofany other state or lmod law regulation construefion or the performsoce oformstruction.
Tenant Name(if applicable)
Property Owners Name Scxy%-eS r/� Phone Number -Z4'-1 0-1 �>Z-
Mechanical Co.Name r-FIS A%� -5Z9ax—
,��ftice Phone %WC
E-Mail Address�Asjva(
Co.Addressl A 70 VK I I to ?4j S1 kse- ,S City'�u Statek— Zip '57-Z
License Holder(Print): S_Vte gplification/Registration# OC lei 39'7 cl
Notarized Signature ofLicense
MAfFQ1AWWNWA*kgr" NOTARY PUBLIC,STATr5FFLORIDA,C8UNTY OF bLA.Va
NOTARYPUKIC
Swom,to(or affirmed)and subscribed b 11, th' J�d f 201V
7COrs�g C$TQAff`nE10GFGF0L2a=Ft1nA Notary Public Signature ica VnAA A AQAo—A X0
*4WW Expires V2V2=
Notary Narne-kS�� Mi 6W It VJ�400fiXtermanally Knom/Identification:-
11 NoRrli 3�STREui PI IONE(904)247-6235 FAx(904)247-6107 FBC 5m EmnoN(2014) REVISED6/30/15