780 Paradise Ln HVAC permit 1y
CITY OF ATLANTIC BEACH
r 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-3532
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 A/C, 1 AHU, 2 TON
Estimated Value: $3,000.00
Issue Date: 3/20/2017
Expiration Date: 9/16/2017
PROPERTY ADDRESS:
Address: 780 PARADISE LN
RE Number: 172376-0265
PROPERTY OWNER:
Name: KOLKE, BRIAN
Address: 13440 TROON TRAC
GENERAL CONTRACTOR INFORMATION:
Name: MURRAY SERVICES, INC.
,CACO56655
Address: 802 PARKER ST CA KEITH LAMAR MURRAY
Phone: 904-356-3600
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:
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Furnaces and Heating $24.00
AC and Refrigeration $16.00
Total Payments: $99.00
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--55826 Fax (904)247-5845 t7-M 6 C L4 _3 S3 Z
JOB ADDRESS: / 0 O 1�9a licd, S e p �yPERMIT#
PROJECT VALUE S 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 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 Ratin
Duct Systems: Total CFM RE UIRED
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:
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 true and coroxL 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 gulanon constriction or the performanceofooff construction.
Property Owners Name /LNJ✓, an (�ac�/k t/ o K� Phone Number'�ir / _K .?61P/�
Mechanical Company // ,St✓� G C�N7' Office Phone 21%o'76 0)Fax 3r6'3Z-Z'L-
Co. Address: i�`t•�LU �'� city eC1e State zip 32Ld(o
License Holder(Print): A.ti'w tate C wation/Begistration# C/}[ 0s6 6 .l S
No=,".'
older I GINIXE$KRGERcaSSION#FF9S95l Before me this�a f 20
RES:Octoaera,MISN wunamaumx.�mR
Signature of Notary Public