1132 Linkside Dr HVAC permitCITY 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:
Job Type:
Description:
Estimated Value:
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address:
RE Number:
17-MECH-3797
MECHANICAL HVAC ONLY
replace 1200 CFM dud system
$2,950.00
4/20/2017
10/17/2017
1132 LINKSIDE DR
172374-5020
PROPERTY OWNER:
Name: Armour, William
Address:
GENERAL CONTRACTOR INFORMATION:
Name: CLEANAIRE MECHANICAL INC
John Leroy Mattison, CAC057769
Address: 10884 Knottingby DR
rnvne:
PERMIT INFORMATION: Stidcer 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:
Air Dud 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
JOBADDREs3: ) I52 I t o L1 L (1 P D rl \[L PE>�nur #w -,3q"
PROJECT VALUE S 2G�Cr 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 Ratin¢
Duct Systems: Total CFM -.„_r_ REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity
Heat:
Tons Per Unit
Unit Quantity
Duct Systems: Tota]CFM 12.0-0REQUIRED
BTU's Per UnitSeer Rating
FIRE PREVENTION
Fire Sprinkler System Quantity
Fire Standpipe Quantity
(Requires 3 sets of plans)
Underground Fire Main Value
(Requires 3 sets of plans)
(Regau•es 3 sets of
Fire Hose Cabinets Quantity
Commercial Hoods Quantity
plans)
(Bequu•es 3 sets of plans)
Fire Suppression Systems Quantity
(Requires 3 sets of plans)
(Requires 3 sets of plans) _
FIRE PLACES
MISCELLANEOUS:
Prefabricated Fireplace Qty
Automobile Lifts
Gas Piping Outlets
Boilers BTU's
ALL OTHER GAS PIPING
Elevators/Escalators
Quantity of Outlets
Heat Exchanger
Pumps
# Vented Wall Furnaces
# Water Heaters
RBTU
efirgerator Condenser 's
Solar Collection Systems
Tanks (gallons)
Wells
)THER:
em h becomes void uwork does not commence within a six month period orwork is suspended or abandoned farsix montbs.I hereby certify that I havc reed
l
tis appGca loo and know the same to be Ime and correct All provisions of laws and ordinances govemivg this work w11I be
ot. The peanil does not give authon toviolate the provisions of my
complied with whether specified or
older state or Intel law regulation construction or the perfonownee ofootuwcfm.
'roperty Owners Name I I (I A�
-y--�--- Phone umber
4echanical Comnarn/'-I P(I YIn I Y'P. M Otl In n n tin I ,...-. ... `IL'ko -
'o. Address: � I -rho e- C+ City � State Zip
deense Holder (Print): n h n M O^ik Ztate Certiflmtion/Registration # '�}! n tY7 mo
notarized Signature of License Holder �' hrWz--
SHANNON ROSEIAN.Tt remethl9 ri.1 F y�
z'� r core.m on . FF 9B.oe.f' —LES--- ypp -i7� 20_1_
ran comm�..ma n.m1.98i store of No[ PublicA
`L�;,
April 19, 2020 anyAj
ATLANTIC BEACH
PERMIT RECEIPT
April 20, 2017
PERMIT DESCRIPTION: replace 1200 CFM duct system
PERMIT NUMBER: 17-MECH-3797
ADDRESS: 1132 UNKSIDE DR
OWNER:
Air Duct System
$20.00
State Mech DBPR Surcharge
$2.00
State Mech DCA Surcharge
$2.00
Trade Permit Base Fee
$55.00
CREDIT CARD
Totals:
$79.00
CRY OF ATLANTIC BEACH
800 SEMINOIE RD
ATLANTIC BEAC, R 32233
01;20:2017
12:29:49
CREDIT CARD
NSA SALE
CARD F XXAXXXXXXXxX1607
INVOICE
0008
SEV N:
0008
Bad A:
000544
Approval Code:
020091
Entry Metlud:
Maraal
MOh:
Onlhe
Card Code:
M
SAIFAKUNT poo
CUSTOMER COPY