354 19TH ST - HVAC ry
\s f CITY OF ATLANTIC BEACH
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-3725
Job Type: MECHANICAL HVAC ONLY
Description: install 2.5-ton AHU
Estimated Value: $3,500.00
Issue Date: 4/11/2017
Expiration Date: 10/8/2017
PROPERTY ADDRESS:
Address: 354 19TH ST
RE Number: 172020-1236
PROPERTY OWNER:
Name: SIMPKINS, EDDIE
Address: 354 19TH ST
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 $20.00
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: $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) 247-5826 Fax (904) 247-5845 17 (l
- EQ4-(- 7z5
.--- r- tiJos ADDRESS: j i I S-1---'c c-- PERMIT#
PROJECT VALUE $ ' 600---Q ARI# 539 . a(-1a7 REQUIRED
Air Handling Equipment Onl��Air Handling Unit & Condenser Condenser Only
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3t-5 "
Heat: Unit Quantity I 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 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
°y RICHARD TOMPKINS Tanks (gallons)
-t,., Commission#FF 040399 Wells
%a+••.`�.:a Expires July 29,2017
OTHER,;lpr:t ...di.Tto Fon insurance7019
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 performanceceof
construction.
l 1 / Il fl
Property Owners Name � �crQ11���S �,dc���'- Phone Number pL.
Mechanical Company \\(. - \C Office Phone`I.lax
Co. Address:---;\ , to i-V, J--\\ t $ City L State�� Zip-13�61
License Holder(Print): \,-..)\.\\.iC.- ►$Zik\ .),to Certi ation/Registration#61NZZ•��
Notarized Sna
i t« ld_1 iCpdsauolder
7:1 Before me this ( day of 0 \ 20 0
ilk ''`•. -, ......::..•.i• ..,.Y FFA4039 Signature of Notary Public
tac ,yruiy 29,2017
.M�d Tar,�ttajfanU '7019