1652 BEACH AVE - HVAC , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j • fy ATLANTIC BEACH, FL 32233
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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-3659
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 12 A/C, 2 AHU, 4 TON TOTAL
Estimated Value: $9,350.00
Issue Date: 4/3/2017
Expiration Date: 9/30/2017
PROPERTY ADDRESS:
Address: 1652 BEACH AVE
RE Number: 169573-0000
PROPERTY OWNER:
Name: JOHNSON, GORDON J
Address: 1652 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: THIGPEN HEATING & COOLING INC.
, CAC056726
Address: 2801 DAWN RD QA MICHAEL WAYNE HAYES
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 $24.00
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII 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 ( '1 -ME-CA - 3?5 J
JOB ADDRESS: /17 5 2 1£A-c--H J PERMIT#
PROJECT VALUE S r D ARI# q 1 -7D Z 0 9
REQUIRE
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 2 Tons Per Unit --r..,0 EAcP I -'
Heat: Unit Quantity Z BTU's Per Unit I-Lit coo Seer Rating '
Duct Systems: Total CFM C-A-c d 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 au 'ty to violate the rovisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name 6-A-4d °I..' Phone Phone Number4" s C�
p
Mechanical Company --id- i t, AEA-riA) 6 4 CWLtaY-Office Phone 'I qL
Co. Address: Lg 61 ict-1 A) l City L1,LI-?L Stated-- Zip 3 Z-72A57
License Holder (Print): M t c_&A1-`- w 41 State Certification/Registration# C±At-v,S1.1 2.4.
Notarized Signature of License Holder Z)�Y
Sworn and subscribed beforeJm- this 3 - day o r-'‘\ 20 V1 _
M"k" MARY WEEKS Signature of Notary Public , 4! i .1
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t \coffimon#GGO2O612 / .
V --4:-21 Expires August 11,2020
"4..t;;;,° Bonded Thy Troy Fein Insurance 8003854019