1270 OCEAN BLVD - HVAC DUCT S r\,�f
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�' . �s� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1216
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - NEW DUCT SYSTEM
Estimated Value: $4,500.00
Issue Date: 12/21/2016
Expiration Date: 6/19/2017
PROPERTY ADDRESS:
Address: 1270 OCEAN BLVD
RE Number: 171823-0000
PROPERTY OWNER:
Name: STONE,MITCHELL A & CHRISTINE L, *
Address: 1270 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
, CAC058398
Address: 532 S 3rd ST
Phone: 904-241-3785
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:
Air Duct System $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
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
Ph(904) 247-5826 Fax (904) 247-5845 nn rr �
FOB ADDRESS: 1 a-1 G( '`�1 U U PERMIT# G "RAINR'6`7),
PROJECT VALUE $ -4 50t ARI# REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
JEW 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
2EPLACEMENT 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
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile 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
)THER: S�ev 1-}014, 1kovs-c, �vz� �tS ..,•� Cao\4\c`, LAt.SV;r� J1t Alt,
ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read
pis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name C by�\Sk., Phone Number 8340 CIMC
itechanical Company VctAc Zr Office Phone 1-3) Fax
:o. Address: 31 S (# -. Poi t.. City 1irdN\ \ State{L Zip c\roO
.icense Holder(Print): \r1%\ State Certification/Registration# CO-QO 3T1L1
Jotar' 'cense Holder
'"" 4 RICHARD TOMPKINS
F`
:+1. :;-s
Commission#FF 040399 iefore me this day of k`A•s 20 1 14
111
a Expires July 29,2017
aRa; Bonded TNT,Troy Fein Ins"nca80p386.7°19 'signature of Notary Public
's r ATLANTIC BEACH
J
r PERMIT RECEIPT
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PERMIT DESCRIPTION: HVAC- NEW DUCT SYSTEM
PERMIT NUMBER: 16-MECH-1216
ADDRESS: 1270 OCEAN BLVD
OWNER:
DATE ISSUED:
FEES DUE:
Air Duct System ' $20.00
State Mech DBPR Surcharge $2.00
4 I State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Totals: $79.00
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