1519 JORDAN ST - HVAC r\i'J
J" j j.. _;; CITY OF ATLANTIC BEACH
. f SOO SF.MINOI.F ROAD
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±)IF 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-3776
Job Type: MECHANICAL HVAC ONLY
Description: install 2.5-ton AHU & 1000 CFM duct system
Estimated Value: $4,950.00
Issue Date: 4/17/2017
Expiration Date: 10/14/2017
PROPERTY ADDRESS:
Address: 1519 JORDAN ST
RE Number: 172297-0000
PROPERTY OWNER:
Name: HABITAT FOR HUMANITY OF JB INC
Address: 1671 FRANCIS AVEL
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA AIR SERVICE & ENG.LLC
, CAC1813923
Address: 150 QA JOSE FERNANDEZ
Phone: 904-823-9696
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
Air Duct System $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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rj \J\�r
' I `s CITY OF ATLANTIC BEACH
or;:.-,0. ;- 800 SEMINOLE ROAD
`J ATLANTIC BEACH, FL 32233
\ 7) INSPECTION PHONE LINE 247-5814
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5826
Cashier Id: atlbcld\atlbbja
Receipt Date: 4/17/2017 10:06:28 AM
Receipt Number: 05-72919
Job ID: 17-MECH-3776 - install 2.5-ton AHU
& 1000 CFM duct system M2 - AC and Refriger
ation $20.00
Job ID: 17-MECH-3776 - install 2.5-ton AHU
& 1000 CFM duct system M5 - Air Duct $20.
00
Job ID: 17-MECH-3776 - install 2.5-ton AHU
& 1000 CFM duct system M18 - Furnaces and H
eating $20.00
Job ID: 17-MECH-3776 - install 2.5-ton AHU
& 1000 CFM duct system MDBPR - State Mech D
BPR Surcharge $2.00
Job ID: 17-MECH-3776 - install 2.5-ton AHU
& 1000 CFM duct system MDCA - State Mech DC
A Surcharge $2.00
Job ID: 17-MECH-3776 - install 2.5-ton AHU
& 1000 CFM duct system TP - Trade Permit Ba
se Fee $55.00
Amount Due: $119.00
Tender Information: Cash $119.00
Tender Type: CC
Tender Amount: $119.00
Change Due: $0.00
Apr 17 2017 08:07AM HP FaxFAE 9048239995 page 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax(904)247-5845 . 11_ M EC 6 —31-110
JOB ADDRESS: /C/ To .I Al -- PERMIT#
PROJECT V.AL UE S `f i Si) ARI# q/S"cfl REQUIRED
Air Handling Equipment Only . ''Air Handling Unit & Condenser Condenser Only
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity f Tons Per Unit e S
Heat: Unit Quantity et1C14 BTU's Per Unit Seer Rating (Y
Duct Systems: Total CFM ,0t1 ) 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
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.t 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 he complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation corstruction or the performance of construction.
Property Owners Name i *1 /146.74-1-- Phone Number
Mechanical Company Ai;f4'm- Ar li Sew_e Office Phone 823-9696 Fax 823-9995
Co.Address: 150 HILDEN RD#308 City PONTE VEDRA State FL Zip 32081
License Holder(Print): JOSE FERNANDEZ State Certification/Registration# CAQ1813923
Notarized Signature of License Holder1.
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...,„ LILLIAN H.PAYNE 13zfore me this �4 day of _�. _,_.,1 • __ 20
I" ,.� commission#FF 899281 / V
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Expires November 1 t,2019 g . .
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