1620 Maritime Oak Dr HVAC permit eft I ,
`? CITY OF ATLANTIC BEACH
rJ 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
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INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2817
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 4 TON
Estimated Value: $3,400.00
Issue Date: 12/16/2016
Expiration Date: 6/14/2017
PROPERTY ADDRESS:
Address: 1620 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AIR TO AIR
,CAC3815206
Address: 11578 DAVIS CREEK CT CIA JOSHUA S. HOWARD
Phone: -
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDEVANCES AND THE FLOMA
BURRING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 f _ Ci _ 27817 8
Ph(904) 247-5826 Fax(904)247-5845
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m,- CL
JOB ADDRESS: /(,10 L1-;4i mF we— PERMrr#Uj1SSa
PROJECT VALUE$ l( 410 ARI# 7835757 REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 9
Heat: Unit Quantity1 - BTU's Per Unit AIR,000 Seer Ratin /g Il 6
Duct Systems: Total CFM XV00 REQUIRED
REPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rahn¢
Duct Systems: Total CFM - REQUIRED
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 QtyAutomobile Lifts
Gras 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 commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct All pmvisions of laws and ordinances governing this work will be complied with whether specified of
not The permit does not give authority to violate the provisions of any other sate or local law regulation construction or the performance of construction.
Property Owners Name&rfl. floe." 6U;ljU4 PhoneVumberg6q-1/R1S4S
ON
Mechanical CompanyAir to Ase T..c Office Phone,"( fA7Q Fax
Co.Address: io (beck (2ort City lacICSsnr.tte StatelfZip ZZ
License Holder(Print):ToSt. State Certific 1 egistmtion#CAclff/5106
Notarized Signature of License Holde
Be re me thisl k day o 2016
Signature of Notary Public,/ "L')