170 8th St HVAC permit ?I I
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
"Ir
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3575
Job Type: MECHANICAL HVAC ONLY
Description: add 1200 CFM to existing duct system
Estimated Value: $2,300.00
Issue Date: 3/27/2017
Expiration Date: 9/23/2017
PROPERTY ADDRESS:
Address: 170 8TH ST
RE Number: 170326-0000
PROPERTY OWNER:
Name: DORSEY, WILLIAM J & MARSHA,
Address: 170 8TH ST
GENERAL CONTRACTOR INFORMATION:
Name: HAMMOND AIR CONDITIONING INC
Brandon P. Hammond,CACIS16450
Address: 3412 GALILEE RD QA DONALD E HAMMOND
Phone: -
PERMIr INFORMATION: Stidcer for overcurrerlt 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: $79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 1 O �* .7YePe_-Y PERMIT#
PROJECT VALUE$ 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 Rating
Duct Systems: Total CFM )246 REQUIRED
FIRE PRE NTION
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: Rdd to
Permit becomes void if.ml,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 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 v to Ne provisions of my other state or local law regulation construction or the performance of construction.
Property Owners Name ' 1�' 1w (.0 1);A ho r..n .. Phone Number
Mechanical Company NAyhm<wil �i rrr (-,Office PhoneCr*-(,W Fax 3c1(e-53Z2
Co. Address: City �nou��State I L. Zip 3=$3
License Holder(Print): AM Stat Certification/Registration#NCGRh.`t5b
N older ,
> o
nttca+uFiss orouHNr,STc wzsu Before me this a� day of M-f ft�v� 20 0,
EXPI1tE5:Ocbaer 21,=
esa.am IINIAcu�an Signature of Notary Public