576 Coastal Oak Ln HVAC permit rtI
CITY OF ATLANTIC BEACH
y 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: 17-MECH-2906
Jab Type: MECHANICAL HVAC ONLY
Description: install two (2) 2.0-ton 24K-BTU AHUs & 1600 CFM duct
system
Estimated Value: $3,400.00
Issue Date: 1/312017
Expiration Date: 7/2/2017
PROPERTY ADDRESS:
Address: 576 COASTAL OAK LN
RE Number: None
PROPERTY OWNER:
Name: HICKS, ANTHONY
Address:
GENERAL CONTRACTOR INFORMATION:
Name: AIR TO AIR
, CAC1815206
Address: 11578 DAVIS CREEK CT QA 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:
AC and Refrigeration $32.00
Air Duct System $20.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mech 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 FLORMA
BUILDING CODES.
CITY OF ATLANTIC BEACH
-� 800 SEMINOLE ROAD
I ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
v
Total Payments: $131.00
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 t,+_ MELt♦ _ a 9 0(o
JOB ADDRESS: S9/ �Oa3fa/ QLW5 LQ n r PERMIT#/G-SFR- I�C�D
PROJECT VALUE $ _j! 00~ ARI#6938130 REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity g— Tons Per Unit A�;�
Heat: Unit Quantity d BTU's Per Unit` - Seer Rating
Duct Systems: Total CFM IBOo 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 1 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
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 Dat 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 authority to violate the provisionsof a�jothat st ac or local law re leti coon or the performance of concoction.
Property Owners Name Coc4Cla.1 QLk5 C.vxSl/t�cfiax Phone Number fo5/
>un n
�4f,71
Mechanical Company 4,i frr � a ice Phone*l(XJx
Co.Address: //97Y 7)a 'S C ak l Vet Cityx State EL-Zip 10066-
License Holder(Print): 'c State Certification/Registration tflrACtO�/�"9f/�
Notarized Sign atpr"-j,,ieense,Holder 4Hd dlLA
HELENELOUISESTo',Ell Before me this JQj�f- dayof-Pice. hra' 201j� _
MY COMNUSION x:.029,6 y
Emus Juno.. Yov
Signature of Notary Public l