121 Donner Rd HVAC permit CITY OF ATLANTIC BEACH
J - 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
JOBINFORMATION:
Job ID: 16-MECH-2348
Job Type: MECHANICAL HVAC ONLY
Description: install one (1) 3.0-ton AHU
Estimated Value: $4.000.00
Issue Date: 10/19/2016
Expiration Date: 4/17/2017
PROPERTY ADDRESS:
Address: 121 DONNER RD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: NICKS SOLAR &AIR SYSTEMS
Monica Sheree Bacca,CAC055558
Address: 1970 Delray AVE
Phone: 904-349-2803
PERMIT INFORMATION: Stidcer for wercurrent 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:
Fumaces and Heating $20.00
AC and Refrigeration $24.00
State Mach DBPR Surcharge $2.00
State Mach 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 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
JOB ADDRESS: PERMIT#
PROJECT VALUES 4 000 ARI# (`� (P REQUIRED
_Air Handling Equipment Only _Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ITons Per Unit 3
Heat: Unit Quantity BTU's Per Unit 3 i Seer Rating.
Duct Systems: Total CFM 5n REQUI D
REPLACEMENT 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
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
Elevators/Escalators
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:
Penmt becomes void if work does riot cemnreace wi bin a sir month period or work is suspended or abandoned for sec months.I hereby certify that I have read
this application mrd know the same to be true 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 m violate the provisions of
my other state or local law regulation construction or the performance of construction.
Property Owners Name�1,,1,� �'l e1 ��I ' )PCS Phone Number a r/
Mecbamcal Compmy TC[5 �CLf h2Q j R, kSVYLS.�Office Phone F d6s�b
Co.Address: —1AAl-) A' Ci •t` StateZip )W2
License Holder(Print): l State Certificatio egistmtion#CW
Notarized Si nates o
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