900 Plaza #117 HVAC 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-2593
Job Type: MECHANICAL HVAC ONLY
Description: UNIT#117 HVAC - 1 A/C, 1 AHU, 2.5 TON
Estimated Value: $2,500.00
Issue Date: 11/17/2016
Expiration Date: 5/16/2017
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE
5
GENERAL CONTRACTOR INFORMATION:
Name: CHILLY WILLY'S HEATING AND AIR
CAC18IL6342
Address: 8006 N RENAULT DR WILLIAM HESTER
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 Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
p Ph(904)247-5826 Fax(904)247-5845 I
JOB ADDRESS: /-rr PI(' Zfi Ajo/ 117 PERMIT#
PROJECT VALUE$ 4,6W ARI# 7 oZ4 r7/. 4 _REQUIRED
_Air Handling Equipment Only , Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity -4- Tons Per Unit �_
Heat: Unit Quantity BTU's Per Unit Seer Rating
',. Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
1LHeaAir Conditioning: Unit Quantity�_ Tons Per Unit 2,1—
Heat:
t: 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
Cas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
it 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 six months.l hereby certify that 1 have read
this application and Arnow the same to be We and correct. All previsions of laws and ordinances governing this work will be complied with whether specified or
not. The permit docs not give authority to violate the provisions of arty other state or heal law regulation construction or the performance of constmction.
Property Owners Name Phone Number
Mechanical Company /1 .11V 10 '& rf 4/ i sv jel),C al- Office Phoneo2- ' Fax—R24,0 7
r
Co.Address:_- &x /t/O 160 City .,>L State 21— Zip
3222
License Holder(Print): - t= Z,,r ae State tion/Itegistration# (A(/I/7Z 3�/'7.
Notarized Signatarc ojLicense der
roua1NLIESRjGEp fore me this day of 2
*ar.'s''vibs ay�papRSSIONtlFr 524951
., a; EXPJAES:lktoaer6,2919 e
8'r ao, n,ara.,na�esuw.r«nrea 'goatureofNotaryPubllC
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