282 Pine St 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 NEICT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3326
Job Type: MECHANICAL HVAC ONLY
De ription: relocate AC duct
Estimated Value: $500.00
Issue Date: 2/23/2017
Expiration Date: 8/2212017
PROPERTY ADDRESS:
Address: 282 PINE ST
RE Number: 170551-0000
PROPERTY OWNER:
Name: CAMPBELL, MARIA COLLEEN
Address: 282 PINE ST
GENERAL CONTRACTOR INFORMATION:
Name: HAMMOND AIR CONDITIONING INC
Brandon P. Hammond,CAC1816450
Address: 3412 GALILEE RD QA DONALD E HAMMOND
Phone: - -
PERMIT INFORMATION: Sddcer for ovemument 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
Slate Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
PERMIT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND ME FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC 13EACH
800 Seminole Rd Atlantic Beach, Fl,32233
Ph(904)247-5826 Fax(904)247-5845
JoB ADDRESS: IRI- 2, sl�,,-� PERNffr N
PROJECTVALUE$ — ARI# _REQUIRED
_.Air Handling Equipment Only _.Air Handling Unit & Condenser _CondenserOnly
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
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipc 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/Esc stars
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: �Re-lom�r- "b�x
Permit bce..es,oid if work does not conomence within a six month period or work is suspended or abandoned for six meandis.I hereby contify that I have mad
this application and knew the same to be true and correct. All previsions of laws and ordinances governing this work will be complied with whether specified or
not The permit does not give authority to violate the previsions of my other state or local law regulation construction or the performance of construction.
Property Owners Name 4mm"W fmri, 0 A,#.11 PhoneNumber %j4-'iJS-Z8Ql
Mechanical Company 9AhWc.,b hi, _Office Phone-JEk:&�L&LFax-2ik-aga-
Co. Address: syri R0,A City,--
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License Holder(Prin S e C rtification/Registration# 0 AU a,I(m
lder
B day of V9-VU,(1( 20 14
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efore me this
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Signature of Notary P c
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