142 Poinsettia St 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)lT DAY INSPECTION: 247-581.4
JOB INFORMATION:
Job ID: 16-MECH-2555
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - I AC, 1 AHU, 2.5 TON
Estimated Value: $3,919.00
Issue Date: 12/19/2016
Expiration Date: 6/17/2017
PROPERTY ADDRESS:
Address: 142 POINSETTIA ST
RE Number: 170636-0000
PROPERTYOWNER:
Name; HOWARD TRUST, BRUCE H
Address: 11601 S MONTICELLO DR
GENERAL CONTRACTOR INFORMATION:
Name: COOL CLIMATE HEATING AND A/C
Robert L.Gutzwlller,CAC1314517
Address: 3653 REGENT BLVD EAST PARK QA ROBER
GUTZWILLER
Phone: 904-641-9307
PERMIT INFORMATI)N: 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 Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPROWD ONLY IN ACCORDAN�WITH ALL CM OF ATLANTIC BEACH ORDINANCES AND ME FLORIDA
BUILDING CODES.
Qi1i
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WIM ALL CITY OF ATLANTIC BEACH ORDINANCES AM THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, Fl, 32233
Ph(904)247-5826 Fax(904)247-5845 -7s,
JOB ADDREss: &'�nSQtLenp. PERMIT#
PROJECTVALUE$ 3 . 5(9 - f7 - ARI# REQUIRED
__.Air Handling Equipment �nly 'CAir Handling Unit & Condenser —CondenserOnly
72
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 'R , f-
Heat: Unit Quantity+— BTU's Per Unit to Seer RatiL�—P —
Duct Systems: Total CFM REQUIRED
REPLACEMENT 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
Manual J documentation required on residential change out
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 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
OTHER:
permit becomes void if work does not commerce within a six month period or work is suspended or abandoned for six months.I hereby cerify that I have read
this application and know the e d correct.. All provisimes oflaws and ordlinumces,governing this work will he complied with whether spetilied or
)a SIM -n 71 :
nm� The permit does not give= tethe pnm`isi!'1.w ofany otherstate or local law regulation construction or the perfmonalice ofconstruction.
Property Owners Name I Ljc- -d Phone Number elo-
,-J�— L ffi,,Phone '73?a? 4 -'736 f
Mechanical Company 6�C, C I t HC-e-/T nc
I - tl�
Co. Address: �? A �6(n� , 0 City T)t)c statf/ zip 3 2,2
License Holder(Print): �-( 6rclftls� *ate Cftificatiml/Registrati.9 07 121',I Y S---)?
Notarized Signature of LkenNe Holder
MNtG1NDLMRGER Before me is �day(of 0
,coMMISSION#FF V4951
EXPI�ES:Oc�w 6,N19
�A'A,� Signature fNotary Public