325 Country Club Ln mini-split HVAC permit AOL 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
IOBINFORMATION:
lob ID: 16-MECH-2679
Job Type: MECHANICAL HVAC ONLY
Description: install new 3/4 mini-split AHU
Estimated Value:
Issue Date: 11/30/2016
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 Nile 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 Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION Polio
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
-'ij //�1t',, n� 1 / 1
JOBADDRESS: 3A5 L-n-t j 6i" Lane T Iarrl%cPJch�PERMlT# 16.17.51
PROJECT VALUE$ '3500 00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit .00 0 fy-C, Seer Rating /S D
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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 QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/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:
Permit becomes void If work does not commence within a six month period or work is suspended or abandoned for sin months.I hereby certify that I have read
this application and know the same to be arm and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
ornot. The permit does act give authority to violate the provisions ofmy otherstateor locallesv regulation construction or the performance ofconsmn.
tetio
Property Owners Name �i 1 agr. ND W G l rrOV� ,r yyPhoneNumber qo LJ-7517-9--bZ
Mechanical Company A;/ Flo,r DPS;0. S Of&Phone9'l -SaI3 Fax
Co.Address:�(e I-( .�r City 10 K State G!Zip 3 Zb
License Holder(Print): State Certification/Registration#PAL181 4`42,
—ter
Notarized Signature of License Holder
Swoon and subscribed befores i11' day of Ndyem b e 20 /L
Signature of Notary Public ��— �Z'—•.—�
et9d'y"j 11 nTHOON
=38497 i
jay§j �;+ Epiras November 2,2078 _
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