325 Country Club Ln HVAC pemrit 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-2678
Job Type: MECHANICAL HVAC ONLY
Description: install two (2) new 2.0-ton 5K-BTU AHUs
Estimated Value: $9,500.00
Issue Date: 1113012016
Expiration Date: 5/29/2017
PROPERTY ADDRESS:
Address: 325 COUNTRY CLUB LN
RE Number: 171962-0000
PROPERTY OWNER:
Name: GROVER JR, WILLIAM HOWE
Address: 325 COUNTRY CLUB LN
GENERAL CONTRACTOR INFORMATION:
Name: AIR FLOW DESIGNS NORTH, LLC
Terry Hile Burd,CAC1814422
Address: PO BOX 180308 QA TERRY HILE BURD
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:
AC and Refrigeration $32.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
NAv l��
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
p
Ph(904)247-5826 Fax
(904)247.58845
JOB ADDRESS: �S (yia,4-t-tj ! Au,,b Lee— /7.7/an 4,t D<". Fl PERMTT0 1 Y-169
PROJECT VALUE s g SDD a�
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity y Tons Per Unit 7--
Heat: Unit Quantity BTU's Per Unit�e e o Seer
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING &BEATING SYSTEM INSTALLATION
ARI#
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)
Undergromld 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
Elevatom,Escalators
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
OTHER:
Pena t becomes void ifwmk does not commence within a she mmth period orwork is suspended or abandoned f«six months.I hereby certify that t have read
this application and know the same to be true and correct. All previsions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does wt give authority to violate the provisions of any other state or local laly regulation construction or theperfmmem,ofwnstmction
Property Owners Name ��i ��I3ttl d ur Z, owl J u J r Phone Number%d
Mechanical Companydir- �`ylocJ Des.�,i < OfficePho , 5K-S$33 Fax
Co.Address: �1,/S City .JAS StateFl Zip 3, off
License Holder(Print): �/' l State Certification/Registration#GIGIgl qqL; '
Notarized Signature ofLieenreHolder
4�d+uvula*/
Sworn and subscribed before me 9 day of 20j�,
Signature of Notary Public
($i 4 ,; DONNA 1..TNOMASON i
{ Canmissan#FF 1384th
• Exons November 2.2018
eawen.tart.i....e.rmsnie