702 Cavalla Rd HVAC permit 1 -
�S CITY OF ATLANTIC BEACH
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-2434
Job Type: MECHANICAL HVAC ONLY
Description: replace one (1) 2.0-ton AHU3250
Estimated value: $3,250.00
Issue Date: 10/28/2016
Expiration Date: 4/26/2017
PROPERTY ADDRESS:
Address: 702 CAVALLA RD
RE Number: 171365-0040
PROPERTY OWNER:
Name: LOPANIK, SAMUEL M
Address: 702 CAVALLA RD
GENERAL CONTRACTOR INFORMATION:
Name: ISLAND HEATING AND AC
,CAC1817609
Address: 751 CAVALLA RD RONALD WAYNE LEE
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:
AC and Refrigeration $16.00
Furnaces and Heating $20.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: "5.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
�7 n Ph(904)24t77--5826 Fax(904)247-5845 IV M� _ay 3 y
JOB ADDRESS: {d ac C2�G-uc( n-I ) PERMTr#
J
PROJECT VALUE$ tot-'J0 - 0 0 ARI# 7'.1 (d-7(A 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 1 Tons Per Unit o
Heat: Unit Quantity T BTU's Per Unit U Seer Ratingy' o
Duct Systems: Total CFM o 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/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets fps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
// Wells
OTHER: k ) �/5,A c i Lyt gr,
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 read
this application and know the same to be lone 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 state or local law regulation construction or the performance of construction.
Property Owners Name O • K / Phone Number S(y'-,7(.(
Mechanical Company4i� Inc,/ ! ffC r^7 G� Office Phone X73.-71krax
Co. Address: /11/4 /'Jc'"Id ICZ City Ak P�� Stater( zip
License Holder(Print):_ I t )t I l t AX/ ,�L,E_ (l State ertification/Registration#CccNU2(aa
Notarized Signature of License Holder
, cY,s•,. I TNEROMBaIEeuancii Before me this _day of 20--LU—
My COMMISSION 9 FF 977678
�• �TEXPIRES. , ++,2020 ignature of Notary Public