527 Pelican Key HVAC permit CITY OF ATLANTIC BEACH
:I
800 SEMINOLE ROAD
' 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-2857
Job Type: MECHANICAL HVAC ONLY
Description: one (1) new 1.0-tan 12K-BTU AHU
Estimated Value: $3,000.00
Issue Date: 12/22/2016
Expiration Date: 6/20/2017
PROPERTY ADDRESS:
Address: 527 PELICAN KEY
RE Number: 172027-5590
PROPERTY OWNER:
Name: Dailey, Brooke
Address:
GENERAL CONTRACTOR INFORMATION:
Name: ARCTIC AIR OF NE FLORIDA, LLC
Charlton Leon Parks,CAC057352
Address: P 0 BOX 50496 CIA CHARLTON LEON PARKS
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:
AC and Refrigeration $8.00
Furnaces and Heating $20.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $87.00
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
Jos ADDRESS: —) �E l :C AAJ X� �4 PERMIT#
PROJECT VALUE$ ® o • 0 ARI# $ q S REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING At HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit / . O
Heat: Unit Quantity ) BTU's Per Unit rr e A �2V Seer Rating
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)
FUZE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile 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 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 provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give amhho�2ority to violate the provisions of my other state or local law regulation construction or the performance of construction.
Property Owners Name A K e o KC ,d[ . /F y Phone Number N2 -I- S/o 3
Mechanical Company,✓-)n - sr &A Alb d t L Ask rli¢ Office Phone 9 9 i-7r bYFax
Co. Address:_Pn bn,c S C ZL City —Statue/ Zip !u 39
License Holder(Print): State Certification/Registration#6C Q c L
rize . ignature o Lic a older L
IMNIFER JOHasi°a Beforeme this�day of D e(. MW 20 l 10
�, rt MYCOMMtMONOWGUOtt
r amararNa NoaryweuenuwN.nr. Signature of Notary Public -�n„ ---