1785 BEACH AVE - HVAC r,,j"y,Jr✓J
�' ' '`� �S, CITY OF ATLANTIC BEACH
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c_! 800 SEMINOLE ROAD
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\J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3712
Job Type: MECHANICAL HVAC ONLY
Description: replace 1.5-ton 18K-BTU & 3-ton 36K-BTU AHUs
Estimated Value: $4,500.00
Issue Date: 4/10/2017
Expiration Date: 10/7/2017
PROPERTY ADDRESS:
Address: 1785 BEACH AVE
RE Number: 169677-0000
PROPERTY OWNER:
Name: PIATAK, THOMAS
Address: 1785 BEACH
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
, CAC058398
Address: 532 S 3rd ST
Phone: 904-241-3785
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 $36.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE wail 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
et
Ph(904) 247-5826 Fax (904) 247-5845 t A- — M 6,C H - -• - I
JOB ADDRESS: 17'5 1 L kv F:- PERMIT#
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PROJECT VALUE $ (ISM' ARI 0•S ioc, qt 7 I VQ5 REQUIRED
Air Handling Equipment On 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 CONDITIIONING & HEATING SY TEM INSTALLATION
Air Conditioning: Unit Quantity a. Tons Per Unit I I Z t� NHeat: Unit Quantity 6, BTU's Per Unit tib elk% 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 plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile 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 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 violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name 7{or.K le-k —N5Phone Number' —
Mechanical Company v S N 1v(t C . 5—^'— 4 Office Phono (" Fax
Co. Address:\ C 64- XVI C t. Staten Zip'J:E
License Holder(Print): \\\ N'N N '� moi'\ St Certification/Registration# 7
Si nature ofLicense Holder y _
Notarizedg 1�
�;;�Y�i¢f RICHARD TOMPKINS Before me this , ay ofQ<�.\ 20 \�
i
� Expires July 29,201 i. 1.1 Commission#FF 0399 Signature of Notary Public
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