340 8th St HVAC permit �� In CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j � ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30BINFORMATION:
Job ID: 17-MECH-3465
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 2 A/C, 2 AHLI, 6 TONS TOTAL
Estimated Value: $8,000.00
Issue Date: 3/13/2017
Expiration Date: 9/9/2017
PROPERTY ADDRESS:
Address: 340 8TH ST
RE Number: 169928-0000
PROPERTY OWNER:
Name: Sifakis, Alex
Address:
GENERAL CONTRACTOR INFORMATION:
Name: PADGETT'S A/C & HEATING
,CAC1814887
Address: 6034 CHESTER AVE APT 119 QA CAREN L PADGETT
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 $28.00
AC and Refrigeration $48.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $135.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC )BEACH
800 Seminole Rd Atlantic Beech,FL 32233
Ph(904)247-5826 Fax(904)247-5845 1"7-M ECH _3466
JOB ADDRESS: 34o a rH Ave Atlantic Beach, FL 32233 PERMIT# 2776
PROJECT VALUE$ 8,000 ARI# 7995846/7995055 REQUIRED
"Air Handling Equipment Only ` Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantfty Tons Per Unit
Heat: Unit Quantity BTU's Per UnitSeer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity z Tons Par Unit t 4ton I 1 2 ton
Heat: Unit Quantity 2 BTU's Per Unit skwforbalb Seer Rating HSaar
Duct Systems: Total CFM law REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity - (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plass
FireHose Ca 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
Elevat csorsa�
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Pumaces RefngeratorCondenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
OTHER: Wells
Permll brwmes void ifwmlc does nm mnamem within a six month perbd or work is suspended or abandmed for els mumu.I hereby ratify that I hwe
read this application and W1ow tFn same m be boa end ween All provisions of Tawe wed ordinances govaming this work will be wmplied with whether
specified or not, The permit doesnolgiveeudmrity to violate ate provisions ofmy other state or local law regulaion ooestrucam or the parkom m of
conamalon.
property Owners Name Ales Sifeas Phone Number 81
Mechanical Company Padgetra AC&Haaang,INC Office Phone VW61104222 Fax ae4-72240e7
Co. Address: 3772 st Aueustlne RD City INAWDYni. State FL Zip 32207.
License Holder(Print): Caron Pad aft Z2 State Certification/Rcigistration# CAQ1014087
Nolarked Signature of License Hold, �L--�
..Avis me mis m MY Or 2u tr
Signature of Notary Public n2ly t�,^u d m-Q e
MELISSA ORDNIAY
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CITY Of ATLANTIC BEACH
CITY OF ATLANTIC BEACH 800 SDGNOIE RD
000 SEMINOLE ROAD ATLANTIC BEAC,F.37233
ATLANTIC BEACH, EL 32233 031317017 1036:15
PHONE (904) 247-5826 CREDIT CARD
Cashier Id: atlbcld\atlbbja VISA SALE
Receipt Date: 3/13/2017 10:41:21 AM
Receipt Number: OS-72623 Lard# yxX1000IX](OXIB69
Job ID: 17-MECH-3465 - MAC - 2 A/C, 2 PHU, SEQ#: 7
Job ID: 17-PIELH-3465 - MAC - 2 P/C, Z AHU, W#: 319INVOICE 7
Job ID: 17-NECH-3465 - MAC - 2 AJC, 2 AM, Approval Colk'. M65G
Job ID: 17-MECH-3465 - HVAC - 2 A/C, 2 AND, Enby McW Manual
Mode: OMlhe
Job ID: 17-PECH-3465 - MAE - 2 A/C. 2 AHU, Tal Mmut'. $0.00
Amount Due: $135.00 Cyd CA: M
Tender Information: Cash 1135.00
Tender Type: CL
Tender YPe: C 1135.00 SALE AMOUNT $135.W
Change Due: 10.00
_ CUSfOME0.COVI