1732 Sea Oats 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 4PIM FOR NE)ff DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 16-MECH-2187
Job Type: MECHANICAL HVAC ONLY
Description: replace 4.0-ton AHU
Estimated Value: $5,030.00
Issue Date: 9/28/2016
Expiration Date: 3/27/2017
PROPERTY ADDRESS:
Address: 1732 SEA OATS DR
RE Number: 172020-0434
PROPERTY OWNER:
Name: SOWERS TRUST, BOBBY G
Address: 1732 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: Staats A/C & Commercial Refrigeration, Inc.
Samuel T.SUats,Jr.,CACO25410
Address: 450-106NSR13RDAPT215 QASAMUELTHOMAS
STAATS, JR
Phone: - -
PERMIT INFORMATION: Sticker far overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply vdll result In a failed inspection and reinspect fees. No
exceptions.
FEES:
Furnaces and Heating $20.00
AC and Refrigeration $32.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDA14CE WITH ALL CrCY OF ATLAI�ITIC BEACH ORDIN�CES � THE FLORIDA
BUILDMG CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND ME FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seraintilo Rd Atlantic Beach,FL 32233
P 04)247-5826 Fm(904)247-5945
9
B ADDRrss: 1:7 ?22- =,Z8ZL & ,
PA0JECTVALUE$- i10i0.q,(j
4'W AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Corditiordw. Unit Quantity Tom Per Unit
Heat: Unit Quantity BTU's Per Unit Se---.
Duct System: Total CFM I J�EIR
U
EPLAcEmENT AIR CONDITIONING&HEATING sysrFm INSTAI N
AM# _ -7
7
Air Conditioning: Unit Quantity Tom Per Unit
Heat: Unit Quantity I�L— BTU's Per Unit A-Zeo SeerR did, 1 0
Duct System: Total CFM �RQUMFD
atE PREVENTION
Fire Sprinkler System Quantity (Relluires 3 sets of p R i
Fire Standpipe Quantity (Req m3setsofplali
se u
Underground Fire Main Value (R q. res 3 sets of pt mi k
Fire Hose Cabinets Quantity (Roqu m3setsofplao )
Commercial Hoods Quantity (Requ res 3 Cis of Plan
Fire Suppression Systems Quantity s 3:ets of pittris
(REPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BI
Elevators/Fscalator.
LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
9 Vented Wall Furnaces Refrigerator Condenser BI
#Water Heaters; Soler Collection Systems
Tanks(gallons)
Wells
ITBER-
nmit becomes void ifmk does net within a six month puiod or work is Suspended crabandound for six nuos b cenify Gist I have md
isappbcadonmdknowthe�eWbe=emdwnwL All provisions of law end ordinesuces govessingthis work will 1 ; 1 ith whetha specified
Got. The immit does not give anthorit visible,the Pz%wi - of my sit.stude in IM81 law mgdenist constneenoull o , ce of consibuctiou,
ropertyO.ersName, Mh-�, Phone 1, �1) 1
W- A- on WR 73
ffi
fechanical Compan gE - -
Ph
im` 7 -7 TPCit31
S Z zip 3 2;-�3
!o.Address:4-5b- )6(=. 9-13VIC7 1�5
irr-1 .. ...... c5Tnnq:y� rStat giii t no
,icense Holder Ostia PL-7. 11 C 2-5 0
Liceme ffold� �j
lotarized Signature or
me tids X-? day of er 20
BRADLEY I.RING of Notary Public -2T
!N N01mY Public-Still,of Funds, gnature
�nw-My comm.uplues,Sep 29.2016
commissumn#EE 833901
CITY OF ATLANTIC REACH
200 SEMINOLE ROAD
ATLANTIC BEACH, FIL 32233
PHONE (904) 247-5855
CaaHiier Id: at)bcld\atlbcct
Rnelpt Date: 9/2B/2016 3:03:56 PM
Racelpt Number: OS-71252
Job III: Ifi-MEEH-2197 - replace 4.D-ton AHU
1118 - Furnaces aA Nesting $20.00
J.b ID: 16-MCH-2107 - replace 4.0-t. ANU
K2 - AC and Refrigeration $32.00
JDB TO: 16-NECH-2187 - replace 4.0-ton ARJ
MDBPR - State Mach DBPR Surcharge $2.DO
Job ID: lfi-MECH-2197 - replace 4.0-t. PHU
flDCA - State Mech DEA Surcharge $2.00
Job ID: 16-WER-2187 - replace 4.0-ton AHU
TP - Trade Permit Base Fee $55.00
Amouat Dus: $IjI.DO
Tendar� Imfurmation: Cash $111.00
Tender Type: CC
Tender Amount: $111.00
Change Due: $0.00