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2143 FAIRWAY VILLAS LN - HVAC r ��J �� CITY OF ATLANTIC BEACHR J,,,,, \ U ' Is 800 SEMINOLE . r ATLANTIC BEACH, FL 32233 �� INSPECTION PHONE LINE 247-5814 �DJ219p MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: I6 MECH 2463 Job Type: MECHANICAL HVAC ONLY Description: HVAC - 1 AC, 1 AHU, 2.5 TON Estimated Value: $4,309.00 Issue Date: 11/3/2016 Expiration Date: 5/2/2017 PROPERTY ADDRESS: Address: 2143 S FAIRWAY VILLAS LN RE Number: 169398-1048 PROPERTY OWNER: Name: COATES, CHRISTOPHER J Address: 2143 S FAIRWAY LN GENERAL CONTRACTOR INFORMATION: Name: AIR SOURCE AMERICA INC Jason M. Buehler, CAC1816716 Address: 2615 CRYSTAL COVE CT RICHARD E EPPERSON JR Phone: 904-233-8831 prior to PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment inspection. Failure to comply will result in a failed inspection and reinspect fees. No exceptions. FEES: Furnaces and Heating $24.00 AC and Refrigeration $20.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $103.00 PEIS APPROVED ONLY IN ACCORDANCE WITH ALL CI I Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA PF BUILDING CODES. • MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 _rn � - Z¢�Z Ph(904)247-5826 Fax(904)`247-58451J • JOB ADDRESS: Nh3 �w�r•_m \ : \\.Ls l..in ,5 PERMIT# PROJECT VALUE$ 1-k3 Qat • ARI# a 1 5` cVNA REQUIRED Air Handling Equipment Only k Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Seer Rating Heat: Unit Quantity BTU's Per Unit REQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity .3... 2 Tons Per Unit Quantity1 Lk•5 BTU's Per Unit >,�o Seer Rating Heat: Unit �- REQUIRED Duct Systems: Total CFM FIRE PREVENTION Re uires 3 sets of plans) Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value Fire Hose Cabinets Quantity (Requires 3 sets of plans) 3 sets of plans) Commercial Hoods Quantity (Requiresuires 3 sets of plans) Fire Suppression Systems Quantity (Requires FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Boilers BTU's Gas Piping Outlets Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water HeatersSolar Collection Systems Tanks(gallons) Wells OTHER: onths.I hereby certify that I have read Permit becomes void if work does not commence re and correct.All provisions of laws six month period or ork is and ordinances ned or governing this work wfor six ill be complied with whether specified or this application mi and know the same to ^� not. The permit does not give authority to violate the provisions of any other state or local law regulation construction Number ��reonstruction. L+�"�Z-�� Property Owners Name �h r �' C_ c J- `.,%c Office Phone Fax Mechanical Company A 4 . �"`"'`''°. '� Co. Address: '2.—'=•'1 2—oN-1'` ��' City Stat l- Zip 322SLO �\11.,/ State Certification/Registration#4 C\I 1471V0 License Holder(Print): c )o�5�or-, �° Notarized Signature of License Holder -�`_, 20 •�o ,ist1:14, TRACY POOR Before this � day of •: , •• NOTARY PUBLIC ,v rfi STATE OF R.ORIQA Signature of Notary P• 4 ` Cama/FF129498 "3'6E Expires 6/4/2018 . `ri• : = -:1A ATLANTIC BEACH , PERMIT RECEIPT 0 v November 3, 2016 PERMIT DESCRIPTION: HVAC- 1 AC, 1 AHU, 2.5 TON PERMIT NUMBER: 16-MECH-2463 ADDRESS: 2143 S FAIRWAY VILLAS LN CITY OF ATLANTIC BEACH 800 SEMINOLE RD OWNER: ATLANTIC BEAC,FL 32233 11.032016 15:19:57 Furnaces and Heating $24.00 CREDIT CARD MC SALE AC and Refrigeration $20.00 CARD„ XXXXXXXXXXXX3115 INVOICE 0006 SEQ#: 0006 State Mech DBPR Surcharge $2.00 Batch n; 000433 Approval Code: 01058] $2.00 Entry Method: Martial State Mech DCA Surcharge Mode: Online Tax Amount: $0.00 Trade Permit Base Fee $55.00 Card Code: M SALE AMOUNT $103,00 Totals: $103.00 CUSTOMER COPY V N`o 61.%\`'0' PcN � 1 ,- \c,-- 0-°\". ' c \ ° 1 1t