1545 FRANCIS AVE - HVAC r�
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° .„ , _,„` , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j r 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-3734
Job Type: MECHANICAL HVAC ONLY
Description: replace 2-ton 24K-BTU AHU
Estimated Value: $4,600.00
Issue Date: 4/11/2017
Expiration Date: 10/8/2017
PROPERTY ADDRESS:
Address: 1545 FRANCIS AVE
RE Number: 172284-0000
PROPERTY OWNER:
Name: Roys, Mary Jane
Address: 1545 Francis 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:
AC and Refrigeration $16.00
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: $95.00
IPERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
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247-5826 Fax (904) 247-5845 11--M 60+ — 3-i -1 {
JOB ADDRESS: /5 4 5 P o4N C 1 S ,(4)E___ PERMIT#
PROJECT VALUE $ 6&,--) , ooV ARI# 9 60 74 6- C1 g
REQUIRED
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 I Tons Per Unit /
Heat: Unit Quantity 1 BTU's Per Unit a• czv 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 Jv A •( /& '(S Phone Number 231— 0 3-s-3
Mechanical Company -14 l Lal I� -4 -r 4 & ' 4 eioa t--'.)G Office Phone 44/8-P91,1-ax
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Co. Address: eo/ '--1)41-1-4)0-)---773 City 1 State fZip3220'7
License Holder (Print): M t 4.4AC%.— w 41 State Certification/Registration A -L)S.7 2-10
Notarized Signature of License Holder 4 6r
Sworn and subscribed before me this Fl ' day of per. I 2.,0t 20,-----
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A.���. r Expires January 14,2018
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