555 Selva Lakes Cir HVAC permit J'J"
CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
-"z ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-MECH-2215
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1AC, 1 AHU, 2.5 TON
Estimated Value: $6,200.00
Issue Date: 9/30/2016
Expiration Date: 3/29/2017
PROPERTY ADDRESS:
Address: 555 SELVA LAKES CIR
RE Number: 172027-5520
PROPERTY OWNER:
Name: CLAYTON ET AL, THEODORE
Address: 555 SEVLA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: ESTES HEATING &AIR, INC.
David Wayne Estes,CAC056641
Address: 2311 KORI RD QA DAVID WAYNE ESTES
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Work W/O Permit Mechanical $55.00
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
rfl�-1i11'�n
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
/ JB19
Total Payments: $158.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH 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 G -/hee F(_u(S
JOB ADDREss: 3-55 Se l v a L2 k,5 Chi ra Ie PERNTr#
PROJECT VALUE S �� An#--7 99 5i/ 3 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 a, S— y
Heat: Unit Quantity I BTU's Per Unit o o Seer Rating
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 QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevamrs/Escalatom
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Pamft becomes void if work does not commerce within a six month period or work is suspended or abandoned for six months.I hereby ratify amt I have reed
M application and know the same m be true and correct All provisions of laws and ordinances governing this work will be complied with whether specified or
not The pemdt does not give authority to violate the provisions of my other state or local law regulation construction or the performance of construction.
Property Owners Name -Z C j 2 T Phone Number 7G 3-29J- !7'//
Mechanical Company &S40's HPzl,�,r Air Ca,, J. J"."i Office Phone ay/-6717 Fax a4/ -3YPz
Co. Address: /95y 5auAsr ae 6)UJ - City 5aSldSati ., //e State�L zip 3
License Holder(Print): r h -fe r�State Certification/Registration#09C-0'i. (o to ill
Notarized Signature 1fr icenseHoWr _ ��✓ —
T!"w., Loma Rae svnntan
g''� 3FCommjaioDtFP163069Beforemethism day of,'� m�e20r,i �/ _
CS. .Explres: SEP 24,3018 /�-�—
aDNDaOTHRU
1srn,ouuaorurxucSrgnatumofNotary Public�i' O'Y� r-