1695 Selva Marina Dr HVAC permit ?S Iy�Jr�rl
CITY OF ATLANTIC BEACH
sj 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
JOB INFORMATION:
Job ID: 16-MECH-2387
Job Type: MECHANICAL HVAC ONLY
Description: install two (2) 3.5 & 1.5-ton AHUs
Estimated Value: $7,800.00
Issue Date: 10/24/2016
Expiration Date: 4/22/2017
PROPERTY ADDRESS:
Address: 1695 SELVA MARINA DR
RE Number: 171999-0000
PROPERTY OWNER:
Name: MAXINE MANLOVE, RICHARD HELLER
Address: 1695 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: HUXHAM HEATING &AIR
,CAC057815
Address: 933 S 11TH AVE CIA JAMES EDWARD GILBERT
Phone: -
PERMIT INFORMATION: Sticker 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:
Furnaces and Heating $20.00
AC and Refrigeration $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 lt,—Au-q _a3%+
JoB ADDRESS: I(o 9 5 SO., (r'lisiul l O>2— PERMIT# JLr ME. 19(7
PROJECT VALUE$ 7 $0O
NEW AIR CONDITIONING & HEATING SYSTEM INST LATION
Air Conditioning: Unit Quantity Tons Per Unit 3.% 11.5
Heat: Unit Quantity BTU's Per Unit 1Y cbo Seer Rating PS
Duct Systems: Total CFM 99.0 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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 Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/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:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have road
this application and 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 to violate the provisions of any other slate or local law regulation�cyo�nspwc{ion qr`p`ppee°rt(ormance of conswction.
Property Owners Name i a,�i CCM-b'�"2y� `O r'✓ Phonne t,himber
Mechanical Company Huxham Heating&Air Conditioning, Inc Office Phone 904-246-6721 Fax 904-246-0377
Co. Address: 933 1In'Avenue South City Jacksonville Beach State FL Zip 32250
License Holder(Print): James Gilbert State Certification/Registration# CAC057815
Notarized Signature of License Holder', r
Sworn d subscribed before this ! `- day of 20f
.✓' ° NINNA AOS JADE-DOWNING I (�
1 Exaatr Public-sloe o Potma Sign of Notary Public f�tw s
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,tp CommNsum•EE 645406