1909 SEMINOLE RD - HVAC II" r\J\-1 j
" •AIL_ S
CITY OF ATLANTIC BEACH
'_ ., "'" 800 SEMINOLE ROAD
\ijV
,..,a. ,.__, ATLANTIC BEACH, FL 32233
___2INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3756
Job Type: MECHANICAL HVAC ONLY
Description: replace 3.5-ton 42K-BTU AHU
Estimated Value: $3,800.00
Issue Date: 4/13/2017
Expiration Date: 10/10/2017
PROPERTY ADDRESS:
Address: 1909 SEMINOLE RD
RE Number: 169542-0536
PROPERTY OWNER:
Name: Macmeekin, William
Address: 1909 Seminole RD
GENERAL CONTRACTOR INFORMATION:
Name: ISLAND HEATING AND AC
William Gregory Noe, CAC1817609
Address: 751 CAVALLA RD RONALD WAYNE LEE
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 $28.00
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: $107.00
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 _
JOB ADDRESS: 1 909 Ce� I� N1 a�� 3�5�
Sem I e.- RA PERMIT#
PROJECT VALUE $31 c&O c , 649 o ARI# _` 1 5 J `16 REQUIRED
Air Handling Equipment Only ii.ir 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 l STEM INSTALLATION
Air Conditioning: Unit Quantity i Tons Per Unit 3 .Z
Heat: Unit Quantity / BTU's Per Unit y� OO .D Seer Rating 1 y- 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:
'ermit 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
his 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
tot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name )1 l
Mac/n ceKiA Phone Number96/1-SNw 312'
dechanical Company $Lqr./ ,�Q Ala_Z,,c Office Phone-343 4719 Fax
;o. Address:Oita licA►te C+ City ile- &J' State A Zip&226(Q
'icense Holder(Print): «,..`6 . . .te Certification/Registration#'4Qc/$1'7(
0.91
Totarized Sion( ' • _.____,_I er
rN��N�i
�,�•n�; HENTHER OANIEIJ.E BURRELI
41", .."1: ►arTHCR ula+sFF977578 I efore me this 1,-)... day of 01)2 I 20 I
i.III.41,,',.•41.,:
`' ni EXPIRES:Apfl 11,2020
:, oBowled Tin► IfICU ' ': gnature of Notary Public /•j
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