1651 Mayport Rd 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 NE)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2705
Job Type: MECHANICAL HVAC ONLY
Description: install one (1) 2.04on 24K-BTU AHIJ
Estimated Value: $5,000.00
Issue Date: 12/5/2016
Expiration Date: 6/3/2017
PROPERTY ADDRESS:
Address: 1651 MAYPORT RD
RE Number: 172072-0000
PROPERTY OWNER:
Name: CONSELICE JR ET AL, JOSEPH J
Address: 1651 MAYPORT RD
GENERAL CONTRACTOR INFORMATION:
Name: FORREST TUCKER'S HGT &AIR INC
Forrest A.TudEer,CAC1816949
Address: 6774 Solomon RD
Ph
PERMIT INFORMATION:Stidier 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 $16.00
Air Duct System $20.00
Furnaces and Heating $20.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PE"IT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $115.00
PERAUT IS "PROVED ONLY IN ACCORDANCE WITH ALL CIW OF ATLANTIC BEACH ORDINANCES AM THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233
Ph(904)247-5826 Fax(904)247-5845 (0-)A CCq -
JOB ADDRESS: Pal PERMIT#
PROJECT VALUE$ 5660 ARI iV '?,fy JV7X REQUIRED
__,Air Handling Equipment Only _I/Air Handling Unit & Condenser —Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity A I Tons Per Unit I-
Heat: Unit Quantity BTU'sPerUnit j",ope Seer Rating
Duct Systems: Total CFM U 6 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tom Per Unit —
Heat: Unit Quantity BTU's Per Unit— Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire SprinklerSystem Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity CRequires 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
ElevatorstEscalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Fumaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
period,bcoo,,,,void ifwork does not conantence,within a six ruanth period or work is suspended or Aarchinexi for six months.I hereby cerfify that I have read
this application and know the searn,to he 1.and carrect. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The pennit do"not give authority te violate the provisions of my other ande,or lelifliwregulation constructiont or the puforinamcc of construction.
Property OwnemName Tver PhimeNumber �13-) - 3'/5�1
Mechanical Company FcleeTt I.,- --Office Phonegbl/ Pax—
Co.Address: (, -7-7 q 5010-,, Aw City-j*h,�vjZ1r stateLI_Zip -TP.'L3
License Holder(Print): ;:�-gzlft �164W;� S Certifimtion/Registration#d,4e-114 L/,L
Notarized Signature istrLicense older---2,1� ;:7:Z11—Z
'M FER"NSTON Before m this day,f Ddt,-V-,( 20 Lt-0
tcr Cc
Signature of Notary Public
:E.1 &0exterv.=