366 Seminole Rd HVAC permit , �S'a'I/rlrl
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 NEIR DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2437
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHIJ, 2.5 TON
Estimated Value: $4,100.00
Issue Date: 10/31/2016
Expiration Date: 4/29/2017
PROPERTY ADDRESS:
Address: 366 SEMINOLE RD
RE Number: 170427-0000
PROPERTY OWNER:
Name: ANDERSON, MARY K
Address: 366 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: HUXHAM HEATING &AIR
,CAC057815
Address: 933 S 11TH AVE QA JAMES EDWARD GILBERT
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:
Furnaces and Heating $24.00
AC and Refrigeration $20.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
r [n Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: �f/ T ��- rrIAI�i PERMIT#
PROJECT VALUE$-1—/00
NEI V AIR CONDITIONING & HEATING SYSTEM INSTALLATION
kir Conditioning: Unit Quantity Tons Per Unit
eat: Unit Quantity BTU's Per Unit Seer Rating
uct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI# 79N002e1
kir Conditioning: Unit Quantity1 Tons Per Unit 9-15 REQUIRED
eat: Unit Quantity--T— BTU's Per Unit 30.&70 Seer Rating /S'
uct Systems: Total CFM ///00 REQUIRED
FIF E PREVENTION
ire Sprinkler System Quantity (Requires 3 sets of plans)
ire Standpipe Quantity (Requires 3 sets of plans)
nderground Fire Main Value (Requires 3 sets of plans)
ire Hose Cabinets Quantity (Requires 3 sets of plans)
mmercial Hoods Quantity (Requires 3 sets of plans)
ire Suppression Systems Quantity (Requires 3 sets of plans)
F11 E PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
AL L OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OT 1ER:
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 a plication and know the same in be true and connect. All provisions of laws and ordinances governing this work will be complied with whether specified
peria, The permit does not give authority to violate the provisions of any other state or local law resolution construction or the performance of Consction.
Prol arty Owners Name Prod mw^J Phone Number
Mel imucal Company Htutham Heating&Air Conditionine,Inc. Office Phone 904-246-6721 Fax 904-246-0377
Co. Address: 933 11'^Avenue South City Jacksonville Beach State FL Zip 32250
Lia use Holder(Print): James Gilbert State firation/Registmtion#CAC057815
N ized Signature of License Ho
MIPNA ADSHAOEOOWNING wo end subscribed beforem this.�da of 2d'(�
$ solum paenc sum m pmrOf of NotaryPublic
My Comm.Expires Oct 21.2016
IX,, a Cmomisslon K EE 615406