1977 Seminole Rd HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
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INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3156
Job Type: MECHANICAL HVAC ONLY
Description: miscellaneous duct work
Estimated Value: $800.00
Issue Date: 2/2/2017
Expiration Date: 8/1/2017
PROPERTY ADDRESS:
Address: 1977 SEMINOLE RD
RE Number: 169542-0502
PROPERTY OWNER:
Name: Winkelman, Dennis
Address: 1977 Seminole RD
GENERAL CONTRACTOR INFORMATION:
Name: B & G PLUMBING, HEATING &AIR CONDITIONING LLC
Scott. E. Martin,CAC1814123
Address: 2232 CORPORATE SQUARE BLVD
Phone: -
PERMIT INFORMATION:Sticker for ovemurrent 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 Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 I M 6Gt{ — 3lS(p
JOB ADDRESS: 14-1 1 9 6 m,N Q.-E 9,b - PERMIT#
PROJECT VALUE$ 8 0 o . ARI# h- I A 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 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 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: M s� Ov [wo Ak
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
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
I E.o A�Escv
Property Owners Name D e N o s. W I N K® M A Phone Number to t a- to s t
Mechanical Company "t5 a Ata Office Phone Lz3-3e8e Fax 3gti- Zcve
Co. Address: L Z?3-L SeF.>.,a F Q�l ,n City 5T A r State F Zip 3 Z 21 b
License Holder(Print): S 1 o rT M A wT,>J State Certification/Registration#JEstOrPc E+ar 8 t-a i3
solder Sam
rAimsactt t W ai9 n
F %PIRES:OcbMrn.103a Before me this day of f-!0( t.10-! 20 1
9atldlXU NanrytMBCMaa °rr
Signature of Notary Public