701 Beach Ave #204 HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
it
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2306
Job Type: MECHANICAL HVAC ONLY
Description: install new 3.0-ton AHLI
Estimated Value: $5,000.00
Issue Date: 10/14/2016
Expiration Date: 4/12/2017
PROPERTY ADDRESS:
Address: 701 BEACH AVE 204
RE Number: 170237-0716
PROPERTYOWNER:
Name: VERMILLION TST,CHARLES & SALLY,
Address; 704 BEACH AVEAPT204 704BEACHAVE#204
GENERAL CONTRACTOR INFORMATION:
Name: LES'S HEATING &AIR
,RM0038671
Address: 25HAWORTHAVE QA BERT L LORDAHL, III
Ph
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 Refdgeration $24.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND ME FLORIDA
BUILDING CODES.
01/05/2008 19:12 9047244108 LESHEATING AC PAGE 01/02
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BrACH
800 SOD311101a RA Atlantic Belach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 1 MU4 — -a-s 0
JOB ADDICESS: 7-01 v9tJ--r, '2,9'1 PERAI]T#
PROJECT VALuE s. —/Ineen dodo AM#7_1.115-f& —REQVIM
__Air Handling Equipment only -_>5:�Air Handling Uxilt&Condenser —Condenser Only
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning* Unit Quantity �S./Z Tons Per Unit
Red: Unit Quantity BTU's Per Unit Seer I�Ati ?Igor
Duct Systematic: Tow am --aQi—v -A 1,�x
XffQ-WHD7-
REPLACEMENT AM CONDITIONING&HEATING SYSTEM INSTA LIATXON
Air Conditioning: Unit Quantity Tons Per Unit 3
Hear; Unit Quantity BTU's Per Unit Z Seer I Atin
Duct Systems Total CFM 71:1;(%.0 D
FIRE PREVENTION
Fire S nklor System 3 sets of I Jens)
Fire pta-dndpipe F,311:11;E-1 3 sets of I lens)
Undeagrourld Fire Main Value 3 sets of I lans)
Fire lion Cabinets Quantity (Requires 3 sets of I Ions)
Commercial Hoods Quantity ( Hires 3 sets of I lans)
Fire Suppression Symnis Quantity (azolres 3 sets of I laus)
FIRE PLACES MISCELLANEOUS:
PreWcated Fireplace Qty— Automobile Lifts
oas Piping outlets Boilers M ffs—
FlevatorV&calators
ALL OTHER GAS PIPING H
Quantity of Outlets Plan
#vented Wall Pwmam onm 91—S
#Water Heaters ystems
Tanks(gallons)
Wells
OTHER:
P.it bbaeft void irwork dm within a six mandi period.,wort is auprde6 a,.b.49.0 fl�r am man he
or$upplication Bad know thoRafte to be"a and counted. All provisions primes and ordInarm govonnind;Ohl,work will b t romphW vdth whather speatliod or
noL Th.Patch dam not Lqvc nuthori(y to violent Sao provisions orany other gate or loca(im regulation comaralift of Is P.11consamccaftsmanuadon.
Property0wilmName Phone Nu riber 70,YS2-W-
Mechanical company ice Phft�!i��11 9-9 L*4�13aw
J.*4 - 2O4w
Co,Address;_25-1141mak' 06-e_ C >f. Stat9,eA7ip JA�
V&
License Holder(Print): &AY116 State CertificationfRegibiration4 g4=3&
Notarized Sigisawtura ofLacense, er 4eArllo,�
9 ALMA HADZISALIHOVIC Belorc me this Lj�—day 0 20 /in
Notary Public-Blatant rwa, Signaturcol'NotaryPublic I and Adh7;w" -4)p
4 My Comm Upirm,Sep 23-2010
C.pummshm&FF 150015
ML V 6! 90100ZL6:01 :1xoj ! 3i`:W9l-9Z-l0
CITY Of ATLANTIC BEACH
800 SE14NOLE RD
ATLANTIC BEAC,FL 32233
10/13/2016 14:52m
CREDIT CARD
VISA SALE
Old# UWW=8;87
SEQ 6
W#: 224
INVOICE 6
Awoval code 145113
Bty Me4w: NMI
Onh
Ta Affolt.
Card Code:
SAIE AMOUNT $1031
CUSTOMER COPY
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEADi, FL 32233
PHONE �904) 247-5855
Cashier Id: atlbcld\atlbb
Rmeipt Date: 10/13/2016 ia:41:33 PM
Receipt Number: OS-71491
J& TO: 16-MED4-2306 - inutail rt!u 3-0-tm
PHU MID - Furnaces and Heating S20-00
J,b ID:_1h-41ECI+-Z3OG - install nwy 3.0-tm
AHU M2 AC and Refrigeration $2q.00
J,b ID: - install ne� 3-G-tw
AHU MDBPR - State Mech DBPR Surcharge $2.
00
j,b ID: 16-MECK-23OG - install nu,i 3.0-ton
AHU PMEA - State Meh DER Surcharge $2.00
J,b ID:16-11ECH-2306 - install mu 3.0-tw
AN TP Trade P�111: Base Fee $55.00
A,mnt Due: $103.00
lenper Warvation: Cash $103,00
Tender Type: CC
Tender Awunt: $103-00
Change Due: SO-00