367 Belvedere 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-2099
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 3 TON AND DUCT WORK
Estimated Value:
Issue Date: 9/20/2016
Expiration Date: 3/19/2017
PROPERTY ADDRESS:
Address: 367 BELVEDERE ST
RE Number: 170703-0266
PROPERTY OWNER:
Name: LINSELL, IAN KETTLEY
Address: PO BOX 330331
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA AIR SERVICE & ENG.LLC
,CAC1813923
Address: 150 QA JOSE FERNANDEZ
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 $24.00
Air Duct System $20.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Work W/O Permit Mechanical $68.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
J
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $195.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
Sep 19 2016 1205PM FP FarFM 9048239995 page 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Attamic Beach, FL 32233 q
Ph(904)247-58226 Fax(9044)22447.5945 1 (Q -(Y1��(-ZOO
JOB ADDRESS: X7 /k&err �tG — PERMIT#
PROJECT VALUE $ j Saa7 ARI# S-0kr b i t REQUIRED
_Air Handling Equipment Only x Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit _ i+�
mity BTU's Per Unit
Heat: Unit QuaSeer Rating
Duct Systems: Total CFM — 660 REQUIRED
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unix
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION (g¢gsires 3 sets of phos)
Fire Sprinkler System Quantity (R
3 sets of plans)
Fire Standpipe , Quantity 3 sets of plans)
Underground Pore Main Value (Requiresuires 3 sets of plans)
Fire Hose Cabinets Quantity quires 3 sets of plans)
Commercial Hoods Quantity quires 3 sets of plans)
Fire Suppression Systems Quantity (Requires
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts BTU's
Gas Piping Outlets Boilers
Eleva[ors/Escelators
ALL OTHER GAS PIPING Heat Exchanger
Quantity Of Outlets Pumps
4 Vented Wall Furnaces _ Refrigerator Condenser BTU's,_
4 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
eo
d
voretool,hecome9 id ifwork oes riot mmenm wftlen a ata month pa,.d err works
suspended or ehmdoaed far sia rsorth,I hereb
Py o:txfy fern 1 have reed
this applicaend know ,k rime m be Rua mid correct. NI provisions of laws and ordinances governing this work will be wasphedw al,whmher specified w
tion
this. The P=it downer give authootybvloeat leeprovuiana ofast,other ease or local law mealedon cw ra,,ton or the performmrce of earstmclioa.
Property Owners Name OC Pd`diw-QJ Phone Number
Mechanical Company
FLORIDA AIR SERVICE Office PhonePax
�lut 1
Co.Address: 150 HILDEN RD 308 City PONTE VEDRA StateFLq
AG�
JOSE FERNANDEZ
License Holder(Print): Stasi CertificationlRegistratio
Notarized Signature of LiaMe Holder a;
Before me this 20_ % % *rr
Signature ofNotar, Public num F
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