725 Atlantic Blvd #3 HVAC permit (2) AWL
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-3495
Job Type: MECHANICAL HVAC ONLY
Description: REFRIGERATOR EQUIPMENT UNIT 3 & 15
Estimated Value: $2,000.00
Issue Date: 3/16/2017
Expiration Date: 9/12/2017
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 03
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: B & G REFRIGERATION
,CAC1813635
Address: 3230 KLINE RD QA PATRICK BARGER
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:
AC and Refrigeration $8.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $67.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
r� c CITY OF ATLANTIC BEACH
re? 800 Seminole Rd Atlantic Beach,FL 32233 M EC�- 3 49S
Ph(904)247-5826 Fax(904) _47-5845 7'
JOB ADDRESS:-1`.-b U(LnC,r?I '))A- 15 )(lkUfif , (o'1, f I PERMrr#
PROJECT FALUE$ A,WC), 3 0 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 Ratin_
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 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 pians)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/EsWators
ALL OTHER GAS PIPING Heat Exchanger of
Quantity of Outlets Pumps
#Vented Wall Fumaces Refrigerator Condoner BTU's t i x,N t
#Water Heaters Solar Collection Systems
. Tanks(gallons)
Wells (,���v,_
I✓(t.:).� n f1'
OTHER: �t Q9
, 1 1. Win
f,fAox
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six monats.I hereby certify that I have read
this application and know the same to be true and correct All provisions of laws mid ordinances governing this work will he complied with whether specified or
not. The permit dues not sive anthorhy to violete the movivions of anv other state or local law regninnon Mnatmmion or the Twenn nwire ofmn"jaitm.
Property Owners Name( I 'L N YIgW) LL� Phone Number
Mechanical CompanyQ&�fd l(_e-� pj' Office Phone DAI ax
Co. Address:', VAtdls. CityjQeYq-)C)j kk e State�Zip , A
License Holder(Print): State Certification/Registration# 0)"40 0
6
r o icrnse No
anPutaer balara efore me this day of o-17 _
*Wt P*k-Sale of FIKId,
Seaaaieeka•es newt ignature of Notary Public
W eee4 t.rgko AFt t2.2010