1249 Beach Ave 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)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2770
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - I AC, 1 AHLI, 3 TONS
Estimated Value:
Issue Date: 12/12/2016
Expiration Date: 6/10/2017
PROPERTY ADDRESS:
Addrew: 1249 BEACH AVE
RE Number: 170292-0000
PROPERTYOWNER:
Name: GSTTRUST
Address: 1301 RIVERPLACE BLVD STE 1500 1301 RIVERPLACE
BLVD STE 1500
GENERAL CONTRACTOR INFORMATION:
Name: ENVIRONMENTAL A/C SERVICES,INC
,CAC057409
Address: 8110 CYPRESS PLAZA DR STE 106 QAHOWARD
KENNETH STALLS, JR
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 $24.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT 19 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
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PERMIT IS "PROVED 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)2,#7-5926 Fax(9N)247-5845 E C H -Z776
JoHADDRESS: / 2y? -cc-ug
,�e— ERNtff#
PROJECT VALUE S ARI# REQUIRED
_.Air Handling Equipment Only -XAir Handling Unit& Condenser —CondenserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ Tom Per Unit —
Heat: Unit Quantity BTU's Per Unit— Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3
Heat: Unit Quantity BTU's Per Unit -?6, Seer Rating-
Duct Systems: Total CFM /6h0c:> REQUIRED
FIRE PREVENTION
Fire SprinklerSystem Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main value (Requires 3 sets of plans)
Fire How 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
ElevatorstEscalators
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:
Pernit becomes�.id irwork deses not meneow within a six nexoth period on work is suspended or abandotied for six months.I hereby certify that I havenead
this application and know the same to be none,and corocat. All provisions of laws and ordinances governing this work will be complied with whether speired or
not. The twernit does not give authority to violme the Provisions of my other state or treat law regoletirs,emStroetion or the insionvance of construetion.
Property Oxtnrters Name PhoneNumber_
Mechanical Company ��C-�Mcc Phone jE71-1"31'Fax—
Co.Address: qAf�2� Der- 0EP city JZ�K State R-zip-La-p—S-6
License Holder(Print): tate Cerfification/Rcgistration#,�pfas7qo
Notarized Signature of License Holder
'0 N, clove me this day of 201 f(f)
M.YT','RESW�b.,6.�ig ignature 0
)M�j"O"'s
ION'
at f Notary Public