1335 JASMINE ST - HVAC -T' ,\
, 'r Jam'
CITY OF ATLANTIC BEACH
yam. 800 SEMINOLE ROAD
J . ..... —_
±) ;r ATLANTIC BEACH, FL 32233
r, INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3863
Job Type: MECHANICAL HVAC ONLY
Description: replace 3-ton 36K-BTU AHU
Estimated Value: $5,200.00
Issue Date: 4/28/2017
Expiration Date: 10/25/2017
PROPERTY ADDRESS:
Address: 1335 JASMINE ST
RE Number: 171050-0090
PROPERTY OWNER:
Name: SWINTON, MARK S & JACQUELINE, *
Address: 1335 JASMINE ST
GENERAL CONTRACTOR INFORMATION:
Name: Charlie's Tropic Heating & Air
Charles Jay Marks, CAC052431
Address: 750 Mayport RD
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
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 BEACII 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 1_n.6 —
3W3
JOB ADDRESS: 133 5 ,_t )St Y S rvE S PERMIT#
PROJECT VALUE $ ‘,7.-00 ARI# –1WILP136 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 t Tons Per Unit 3
Heat: Unit Quantity I BTU's Per Unit 30 CM Seer Rating 16 .5
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 SPA S.WA tiAV A/ Phone Number Ago -5018
Mechanical Company___ _ID Int `s c Office PhoneVh 1& Fax Vi 1"-2-1 7 2-
Co.
Co. Address: 750 CNIN4latihr City Phi. Staten Zip 3Z`33
License Holder(Print): L* 1 c`c-471r"N s State Certification/Registration#CP 5-143)
Notarized Signature of License HolderclAS.:
1 J ;A.'P AMYO'GRADY ' l Before me this 2f " day of Ark 20 ri
1 .? a1 0 Notary Public-State of Florida '
g N �": Commissiopi Mar
Signature of NotaryPublic
q .3: My Comm.Expires Mar Notary Assn.
Bonded through National NotaryAssn. I