850 Seminole Rd mech permit 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
JOB INFORMATION:
Job ID: 16-MECH-2609
Job Type: MECHANICAL HVAC ONLY
Description: install four (4) new AHUs - three (3) 3.0-ton, 34.14K-BTU;
one (1) 10-ton, 170.7K-BTU
Estimated Value: $143,386.00
Issue Date: 11/21/2016
Expiration Date: 5/20/2017
PROPERTY ADDRESS:
Address: 850 SEMINOLE RD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: Campbell Plumbing and Mechanical Contractors
Keith M.Campbell,CMC1250524
Address: 6225 Powers AVE
Phone: - -
PERMIT INFORMATION: Sticker for ovemument 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 $76.00
Air Duct System $52.00
Furnaces and Heating $28.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPRO�D ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $215.00
PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDWG CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JoBADDRESS: S50 sc, irvjC PERmrr# i coy li - r)3
I Lj 6 gq;�Cc—wo (z?g;ed�3
PROJECT VALUE $ C4 , ARI# ;U'Wl7—eYM 6)3y1a,,,REQU1RED
_.Air Handling Equipment Only 2�_Air Handling Unit& Condenser —Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UnitQuantity Tons Per Unit. + all
Heat: Unit Quantity—�r— BTU's Per Unit SeerRaling H
Duct Systems: Total CFM �7(.o�, 17),70 790 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 Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
ElevatorstEscantors
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
0 Vented Wall Furnarces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becoxams void if work doeamrt oommence,within a six month period or work is suspended or abandoned for six months.I hereby eerfif�that I have mad
this application and know the=a to be ame and correct. All provisions of laws and ordinances governing this work will be compiled with whether specified or
not. -rho pernsit does not give authority o,violate the provisions of any other gate or lor�al law regulation onnstructiom or the performance of oonstruction.
Property0vniersName 0.1, l' ��C,J, —Phone Number-7"
Mechanical Co 9�6, 4 vn.6.m�j 0,N,,4ro,, S E T-, —office Phone W4 3c, qqi� ax 5666
Co.Address: r'V)owcvs Pw city -[,,KS2,.,0, StateF� Zip Zaaj')
License Holder(Print): ?�Al, State Certification/Registration# C fril C 13,6 0 6.3
Notarized Signature of License Holder
Before me this t (, day of IV"C 20 IL
r,�&
F777 Signature of Notary Public..
ATLANTIC BEACH
PERMIT RECEIPT
November 21, 2016
J9;71
PERMIT DESCRIPTION: install four(4) new AHUs-three(3)3.0-ton,34.14K-BTU;one(1)10-ton,
170.7K-BTU
PERMIT NUMBER: 16-MECH-2609
ADDRESS:850SEMINOLE RD
OWNER:
AC and Refrigeration $76.00
Air Duct System $S2.00
Furnaces and Heating $28.00 CITY OF ATLANTIC BEACH
900 SEMINOLE RD
ATLANTIC BEAC,R.32233
State Mech DBPR Surcharge $2.00 1112112016 09:2&10
CREDIT CARD
State Mech DCA Surcharge $2.00 VISA SALE
CARD a VYYX)0=0257
Trade Permit Base Fee $55.00 INVOICE D001
SEQ 0001
W#: 00041
A*oyal Code: 04292G
Totals; Enty WWI: MNUI
$215.00 on"
Tax knowt $0.00
Card Code: N
SALE AMOUNT Via
CUSTOMER COPY