704 Cavalla Rd HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-2435
Job Type: MECHANICAL HVAC ONLY
Description: disconnect condeser & re-install on roof stands
Estimated value: $600.00
Issue Date: 10/28/2016
Expiration Date: 4/26/2017
PROPERTY ADDRESS:
Address: 704 CAVALLA RD
RE Number. 171365-0050
PROPERTY OWNER:
Name: LOPANIK, SAMUEL
Address: 702 CAVALLA RD 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:
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $59.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDWANCES 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' �0�j C CCAA Arm kL PERMIT#
PROJECT VALUE $_&QO • Cy'O ARI# 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 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,Tscalators
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 P /
OTHER: DtS-- ncc� >to Crrldense(' C-1 l�-ZVAI( 4 IZA c. Kccr Sfc.-d
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 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 state or local law regulation construction or the performance ofconstruction.
Property Owners Name .�/ J ait LC Phone Number 5.1y^ -s7(a
Mechanical Company 'rfl r.a/ iYC^t^'l r' ,C��7 SnC Office P//hone.��lPr,/t4ax
Co. Address: I1(4 �44 C7- city [nniK®/u"e- State rt Zip aZ6(Q
License Holder(Print): SII 4 State Certification/Registration#CF4c1717607
N ,.flM.yyx, lu 1 It
e MYCONMISSIONiFF 917518 efore me this day of ��j V1Q -✓ 20__l l n
UNRES:ApI 11,ZDN
'"°' f eam�arlrwrwdrrmrruma.. ignature of Notary Public 1nD R �- —�1