1741 LIVE OAK LN - HVAC I \ CITY OF ATLANTIC BEACH
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,-or,, , Y,,Y 5-) 800 SEMINOLE ROAD
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r ATLANTIC BEACH, FL 32233
\ \ INSPECTION PHONE LINE 247-5814
\J 5119'-
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3808
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 A/C, 1 AHU, 4 TON
Estimated Value: $4,900.00
Issue Date: 4/24/2017
Expiration Date: 10/21/2017
PROPERTY ADDRESS:
Address: 1741 LIVE OAK LN
RE Number: 172020-0182
PROPERTY OWNER:
Name: BROOKS, MICHAEL L
Address: 1741 LIVE OAK LN
GENERAL CONTRACTOR INFORMATION:
Name: COMPLETE AIR SYSTEMS
, CAC1814404
Address: 1721 FOREST BLVD QA BRIAN KEITH TOOLE
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BI'II,DING CODES.
• MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 ' 7- /nEC N_3 8 08
JOB ADDRESS: //Y/ I ;V e oak n 3aa3"3 PERMIT#
PROJECT VALUE $ 4Q00 ARI# —7 56, 36,--77 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 Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit L/
Heat: Unit Quantity / BTU's Per Unit L ?nor') Seer Rating /6 . O 0
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 (YoNael et U a K S Phone Number QOv-W y(- I21U
Mechanical Company CO(rr.p\el e r SyS\'1Py 5, tinC Office Phone Q -4 U,Fax a(0$-0/d96
Co. Address: t\3\ mrrpc \\CtvPr- N City J GX State FL Zip 3d05S31
License Holder(Print): ' j( t'Gys e • ► _ 0I P State Certification/Registration # (A Gni(-NO(i
Notarized Signature of License Holde a/ n
AN4A Before me this a5 day o A {i 20 1.1
* * MY COMMISSION 1 FF 183320
T/ EXPIRES:Apri115,2019 Si nature of Nota Publi nn..
,o,fvee Bonded lln Budget Notary Sifts g ry e