1018 BIG PINE KEY - HVAC rs rL\l
') '#\ CITY OF ATLANTIC BEACH
-�•a- 800 SEMINOLE ROAD
K,-, r 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-2779
Job Type: MECHANICAL HVAC ONLY
Description: install one (1) 2-ton 27.8K-BTU AHU
Estimated Value: $3,500.00
Issue Date: 12/21/2016
Expiration Date: 6/19/2017
PROPERTY ADDRESS:
Address: 1018 BIG PINE KEY
RE Number: 172027-5062
IPROPERTY OWNER:
Name: WALTERS,JERRY L & MARION NIXON, *
Address: 1018 BIG PINE KEY
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:
AC and Refrigeration $16.00
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: $95.00
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 V,— M LLt{ -- ' '1-1-9
7 ' I PERMIT #
FOB ADDRESS: 10 I ♦ b1 (.. , t c
004
PROJECT VALUE $3 5M ARI#jag ).______REQ UIREA
Air Handling Equipment Only" Air Handling Unit & Condenser Condenser Only
kiEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
BTU's Per Unit Seer Rating
Heat: Unit Quantity REQUIRED4 Duct Systems: Total CFM
t,EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity,I Tons Per Unit IDj�
Heat: Unit Quantity _ I BTU's Per Unit a12Seer Rating Oc REQUIRED
Duct Systems: Total CFM ��
TIRE PREVENTION Re uires 3 sets of plans)
Fixe Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires
Underground Fire Main Value (Requires 3 sets of plans)
)_'ire Hose Cabinets Q5
uantit � (Requires 3 sets of plans)Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity . . (Requires 3 sets of plans)
IRL PLACES MISCELLANEOUS: .
Prefabricated Fireplace Qty Automobile Li Fts
Gas Piping Outlets Boilers BTU's
_
k.LL OTHER GAS PIPING Heat Exchanger
Quantity of OutletsPumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months,1 hereby certify that 1 have read
its 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 authorityito violate the provisions of any other state or local law regulation construction or the performance of construction.
+ L. `i+c C-S ,,. S L} Phone Number
_a(a-in
roperty Owners Name ._..�
. �c Office Phone ) Fax
✓lechanical Company(D .�
463
State Zip ,`�
;o. Address: 3_1 , A. City � r
,icense Holder (Print): �1 ,\\1“N�-• :\:.0,� 4� State Certification/Registration # o J�7� I -
Notarized Signature of License Holder _ • 1
-.-----
014;:,_,, RICHARD TOMPKINS )eforemethis J d day • Y 20 / 6
� Commission#IT 040399
,,,.."` a• ' Expires July 29,2017 y nature of Notary Public .
ti4.P:,ec pemmd t�.,�,,t,oy Fr;r.ia,m,,,,, :aaami. ig
ATLANTIC BEACH
f�
PERMIT RECEIPT
7. r
` JSSItr December 13, 2016
PERMIT DESCRIPTION: install one (1) 2-ton 27.8K-BTU AHU
PERMIT NUMBER: 16-MECH-2779
ADDRESS: 1018 BIG PINE KEY
OWNER:
AC and Refrigeration $16.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Totals: $95.00
pEC 212016
P��-AN1\C EACH
1