570 COASTAL OAK LN - HVAC f- J'JJ� •
(7)' \ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
•
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-3874
Job Type: MECHANICAL HVAC ONLY
II Description: install 3-ton 36K-BTU AHU
Estimated Value: $3,000.00
Issue Date: 5/3/2017
Expiration Date: 10/30/2017
PROPERTY ADDRESS:
Address: 570 COASTAL OAK LN
RE Number: None
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address:
GENERAL CONTRACTOR INFORMATION:
Name: MCGOWANS HEATING & AIR
MCGOWANS THOMAS REGULA, CMC1250075
Address: 4850 COLLINS RD QA WADE S MCGOWAN
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 $24.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
RI ILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 IT-/Vl 6L - - &11/
Ph (904) 247-5826 Fax (904) 247-584533
JOB ADDRESS: .53-0 C G.\ ()CACI L aeGci1I VI PERMIT#
PROJECT VALUE $ () . OO ARI# 2612 a REQUIRED
Air Handling Equipment Only '$Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 3
Heat: Unit Quantity 1 BTU's Per Unit '3(p OCD Seer Rating I H
Duct Systems: Total CFM 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.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 `-1-0\\ QproW efr S Phone Number
16-1-03• 961"
Mechanical Company Kc&cu..t t1.5 1 eakin S Pis Cri antn y Office Phone 0331 Fax VS DV,
Co. Address: 113a) Yorka".c.y . E City c,,SQ,iv(I le State F I Zip.3�
License Holder(Print): 1 hr State Certification/Registration #GAC-10,50n5
No arized Signature of License Holder
DEBRA LYNN SPITZ Before me this\ Is* day of‘.\(\ a,\,) 20 \1
MY COMMISSION#FF168999
o•
\etz.eEXPIRES October 15,2018 Signature of Notary Public ,s ,1,t
(407)399.0153 FloridallotaryService.com