1040 Tulip St 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
JOB INFORMATION:
Job ID: 16-MECH-2452
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 3 TON
Estimated Value: $3,400.00
Issue Date: 11/2/2016
Expiration Date: 5/1/2017
PROPERTY ADDRESS:
Address: 1040 TULIP ST
RE Number: 170983-0000
PROPERTY OWNER:
Name: SCHIEBLER TRUST, JOSIE PEARL
Address: 1040 TULIP ST
GENERAL CONTRACTOR INFORMATION:
Name: Elite AC, LLC
,CAC1818659
Address: 10150 Belle Rive BLVD #1407
Phone: -
PERMIT INFORMATION: Sticker for overcument 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 $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $83.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL Cr OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 ren 7^ C
11h(904)247-5826 Fax (904)247-5845 lD-t `i EC�k- `"i J
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PROJECTVALUES J 4(X REQUIRED
_Air Handling Equipment Only VAir Handling Unit & Condenser _Condenser Onlc
fEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unh Quantity Tons Per Unit _.
Seer Rating _
Heat: Unit Quantity _ BTU's Per Unit REQUIRED
Duet Systems: 'l'oud CFM
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantit) i Tons Pw Unit Seer Ratine 1H
Heal: Unit Quantity BTU's Per Unit REQUIRED
Duct Systems: Total CFM
IRE PREVENTION Quandt (Requires 3 sets of pians)
Fire Sprinkler System y (Requires 3 sets of plans)
Fire Standpipe _ Quantity ___
Underground Fire Main Value (Requires 3 sets of plans)
Quantity (Requires 3 sets of plans)
Fire Hose Cabinets Quantit (Requires 3 sets of plans)
Commercial Hoods Q ) (Requires 3 sets of plans)
Fire Suppression Systems Quantity
—
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts BTUs
(las Piping Outlets Bollen
E:IevatorslF_ccalatois _._-----
ILL OTHER GAS PIPING licat Exchanger
Quantity of Outlets Pumps
:e Vented Wall Furnaces ` Refrigerator Condenser BTUs _
# Water Heaters --"_ Solar Collection Systems _.
Tanks(gallons)
Wells
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ropeny Owners Name J0 S 0)61X C Phone Number
techanical Company Pfit Al_ Ll-(, Office Phone Fax
'o. Address: V a_ City .10".GMytlt_State. Zip 3225?
.icense Holder(Print): _kzx[ VRegisimtion# CPT l6 t'6W;e1
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ATLANTIC BEACH
PERMIT RECEIPT
November 2, 2016
PERMIT DESCRIPTION: HVAC-1 AC,3 TON
PERMIT NUMBER: 16-MECH-2452
ADDRESS: 1040 TULIP ST
OWNER:
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2 00
State Mech DCA Surcharge $2,00
Trade Permit Base Fee $55.00
Totals:
$83.00
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