129 Donner Rd HVAC permit . 'rilyL�rh
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
z ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2350
Job Type: MECHANICAL HVAC ONLY
Description: instal one (1) 3.0-ton AHU
Estimated Value: $4,000.00
Issue Date: 10/19/2016
Expiration Date: 4/17/2017
PROPERTY ADDRESS:
Address: 129 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: 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 Refrigeration $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 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 Vb_M 6&(f -3ij-6
Jos ADDRESS: PERMIT#
PROJECT VALUE ARI# 27 UIRED
_Air Handling Equipment Only _Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity _ Tons Per Unit 3
Heat: Unit Quantity�_ BTU's Per Unit 9Gme Seer Rad A_a5
Duct Systems: Total CFM 1240 REQUIRED
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 -r-�---i 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
Cmc 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:
Permit becomes void if work does not commence within a six month period or work is suspended or obendoned for six months.l hereby certify that I have read
this application and know the same to be we and correet. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate themvisions of my other or local law regulation construction or the perfommnce ofconstmction.
Property Owners Name `�/) � Phone Number 71/
Mechanical Company OfficePhone Fal 9
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Co. Address: a n K-n Cite State Zi GrV/C�
License Holder(Print): i- State catiep/Re�tration#
Notarized Signature of License Halder > `i/- Y�JL- 6--
eforeme this)Y�h day of 20 126
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