178 Seminole Rd 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3078
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - REPLACE FLEX DUCT
Estimated Value: $2,000.00
Issue Date: 1/24/2017
Expiration Date: 7/23/2017
PROPERTY ADDRESS:
Address: 178 SEMINOLE RD
RE Number: 170594-0000
GENERAL CONTRACTOR INFORMATION:
Name: JACKSONVILLE HEATING AND AIR
JACKSONVILLE HEATING AND AIR LARRY NORTON , CAC056316
Address: 5843 Ovalle RD
Phone: -
PERMIT INFORMATION: Sddcer 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:
Air Duct System $20.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERMIT IS APPROVED ONLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDIUNCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)2477-5845 17- m E C H-
JOB ADDRESS: —7 Se-fn 1f-Y%�Z- W . 307
PERMIT# ,
PROJECT VAL UE$ BUD 19. o a ARI# REQUIRED
_Air Handling Equipment Only _Air Handling Unit& Condenser _Condenser Only
NEW 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 1140o 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)
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)
pp �, pp Wells
OTHER: Lob-rAht Ole bu4 Odul�
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 one and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
noL The permit does not give authority to violate the provisions of any other slate or local law regulation construction or the performance of wnslruclion.
Property Owners Name fL 'L( &✓p Phone Number
Mechanical CoLmpantyp -6 9L VI u!L Office Phone777-1?*ax
Co. Address: J� i �J 0(1`e-ll p� - City LA�4,, State f Zip 3 as l
License Holder(Print): State Certification/Registration#CACol.)Ro 31 k
Not older �
.C;M.. ar WMWSSION#FM4991
EXPIRES.0.Moberb,2619 Before me ils day of 2 Z
BovW Thm n W NW nQem
_-„- Signature of Notary Public