805 Amberjack Ln 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
305 INFORMATION:
Job ID: 17-MECH-3208
Job Type: MECHANICAL HVAC ONLY
Description: replace 3-ton 36K-BTU AHU
Estimated Value: $4,000.00
Issue Date: 2/8/2017
Expiration Date: 8/7/2017
PROPERTY ADDRESS:
Address: 805 AMBERJACK LN
RE Number: 171185-0000
PROPERTY OWNER:
Name: Sheppard, Heather Marie
Address: 805 AMBERJACK LN
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
,CACOSS398
Address: 532 S 3rd ST
Phone: 904-241-3785
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 $24.00
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: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORHIA
BUILDING CODES.
MECRANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
foll ADDRESS: Ay,��Cp� Lg�a,, —PERmrr#
PROJECT VAL UF$–�L=&5 – Au# q637306 _REQVIMD
Handling Unit & Condenser Condenser Only
_.Air Handling Equipment Only
MW 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
1EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Qhuantity� Tons Per Unit 3
Heat: Unit%uantity:�:� BTU's Per Unit Seer Rating– /jL—
Duct Systems: Total FM REQUIRED
TIRE PREVENTION
Fire Sprinkler System Quantity equires 3 sets of plans
Fire Standpipo tity
Underground Fire Main ?"111un, equirps 3 sets of plans)
Fire Hose Cabinets Quantity 'mequires 3sch of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
URE PLACES MISCELLANEOUS:
Prehlirleated Fireplace Qty— Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
0 Vented Wall Furnaces Raffligerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER:
emit becturres Void iFv*does not communco within a six month period or work Is suspended or abandoned Ant six months.I h=by=Ify that I have reed
III application and know the same to he true and correct. All previsions of law,,ad ordiftences governing this work will he complied with whether specified or
ot. The permit does not give authorIty to violate the provisions of my other state or Iml low regulation construction or the perflummon,of construction.
Iroperty Owners Name S"4E� axivin S Phone Number9be– ZiQ—�640'
Aechanical ___Office PboncQ4L--9T4sx_
'o. Address: SEP-A)-,, Cityzye,� ra8o
I I IS Stata&–zip I-
Acense Holder(Print): Certi cation/Registration#(AC—irs
Votarized Signature ofLicense Holder 1.� ,
�4\, RICHARD TOMPKINS efore me this day of 20 J
",i Commlnft#FFM9D
EXIAres July 29,2017 ignature of Notary Public
ATLANTIC BEACH
PERMIT RECEIPT
# February 8, 2017
PERMIT DESCRIPTION: replace 3-ton 36K-BTU AHU
PERMIT NUMBER: 17-MECH-3208
ADDRESS:805 AMBERJACK LN
OWNER:
AC and Refrigeration $24.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Totals: $103.00
POSTED TO COMPUTER
1) S ?w
C-
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,Fl.32233
ozmmv 15:48:19
CREDIT CARD
VISA SALE
CARD XV2=4445
INVOICE 0002
SEQ#: 0002
Batch#: BOD494
Approval Code: 045MI
Enlry MeM Martial
YlDdt 01112
Tax Arart: $0.00
Card C We: M
SALE AMOUNT $103.W
CUSTOMER COPY