750 TRITON RD - HVAC \s, CITY OF ATLANTIC BEACH
'� sl
� 800 SEMINOLE ROAD
j " �---/;� 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-3832
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 A/C, 1 AHU, 2.5 TON
Estimated Value: $5,800.00
Issue Date: 4/25/2017
mi
Expiration Date: 10/22/2017
PROPERTY ADDRESS:
Address: 750 TRITON RD
RE Number: 171335-0000
I
PROPERTY OWNER:
Name: CRAIN, JERRY R
Address: 750 TRITON RD
GENERAL CONTRACTOR INFORMATION:
Name: ONE HOUR AIR CONDITIONING & HEATING
, CAC1814420
Address: 1198 MAYPORT RD 1
Phone: 904-241-3107
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
t�1ATLANTIC BEACH
!�
Oiii.
_f PERMIT RECEIPT
0E19's' April 25, 2017
PERMIT DESCRIPTION: HVAC- 1 A/C, 1 AHU,2.5 TON
PERMIT NUMBER: 17-MECH-3832
ADDRESS: 750 TRITON RD
OWNER:
CITY OF ATLANTIC BEACH
Furnaces and Heating $24.00 800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
04.25,2017 10:17:03
AC and Refrigeration $20.00
CREDIT CARD
MC SALE
State Mech DBPR Surcharge $2.00 CARD; XXXXXXXXXXXX9573
INVOICE 0005
State Mech DCA Surcharge $2.00 SEQ#: 0001'
Batch tr: 000547
Approval Code: 111179
Trade Permit Base Fee $55.00 Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
Totals: $103.00 SALE AMOUNT $103.00
CUSTOMER COPY
0 ?' 2511 cH
P�LPN�\C
G\1� C)
1 (
04/25/2017 08:57 9042475526 ONE HOUR AIR PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904) 247-5826 Fax(904) 247-5845 1'7 -MGC. k -38.3Z-
JOB
_3g3Z-
. --,
JOB ADDRESS: 750 Mt~rah/ 1 I"ERMrr#
PROJECT VALUE$ AN# 3..Q2.4 REQUIRED
Air Handling Equipment Only XAir Handling Unit & Condenser Condenser Only
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity l3TU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 2. ._
Heat: Unit Quantity j BTU's Per Unit_212140Q 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 docs 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 taws and ordinances govcming this work will be complied with whether specified or
iot. 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 ,,,XRc"'.ti j t' _ Phone Number. Cab .,441+
✓iechanieal Company_..M . Office Phone J4!'3iOJFax 2#745-21,
o. Address: 1196 MA. City 1 State lip_, 3
.icense Holder(Print): _ 1G1 „ gib _ _. 40P. .tte_ i0 on/Registration#.CftC/$1.442,0
trotarized Signature of License Holder ~��� '
liet`;."••:°'Fe, BRRTANY MORELAND Before m day of _ 11- _•4iir 21 /'
4. 4,- * 111COMMISSION 9 FF 04902 r--__ l
„34 74,�c EXPIRES:August27,2017 Signature of Notary Public ire _
'Po Ne'r Bonded Thn Budget NOtery ServkM