144 Poinsettia St HVAC permit Adolk CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
qP INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-MECH-2556
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC. I AHU, 2.5 TON
Estimated Value: $3,919.00
Issue Date: 12/19/2016
Expiration Date: 6/17/2017
PROPERTY ADDRESS:
Address: 144 POINSETTIA ST
RE Number: 170636-0025
PROPERTYOWNER:
Name: HOWARD TRUST, BRUCE H
Address: 11601 S MONTICELLO DR
GENERAL CONTRACTOR INFORMATION:
Name: COOL CLIMATE HEATING AND A/C
Robert L.Gutzwiller,CAC1814517
Address: 3653 REGENT BLVD EAST PARK CIA ROBER
GUTZWILLER
Phone: 904-641-9307
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 Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT 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: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDREss: A, V-1 PERMIT#
PROJECTVALUE$ �'7 ARW-2'�`7 REQUIRED
Air Handling Equipment OnlY Condenser Only
/,-k-Air Handling Unit & Condenser
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit -a;-A 4)
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM RE-0-�IRED
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 act commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have mad
this application and know the some to be trac and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give ambority I th i f my other state or local law regulation construction or the performance of construction.
��Vdl Phone Numbe&�-�? -
Property O�vners Name V,-�c X
Mechanical Company I " i--,Office Phon6��?6 ?Fax
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Co. Address: )-r, be,�S- D city State a zip -Z 114/.
License Holder(Print): R JnC,4- L- I LIState Certification/Registration#(�4C 5�r 7
Notarized Signature ofLicense Holder Z44;: —
, 'A� SNSNONIMM'11 �/9 day of
101, M,IC001,1 G Before me this
Signature of Notary Public 0 e
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