1984 SEVILLA BLVD W-HVAC i, r'S y,.,,j 2..
0' .. ' CITY OF ATLANTIC BEACH'" 9 800 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-3770
Job Type: MECHANICAL HVAC ONLY
Description: replace 5-ton 57K-BTU AHU
Estimated Value: $5,800.00
Issue Date: 4/19/2017
Expiration Date: 10/16/2017
PROPERTY ADDRESS:
Address: 1984 W SEVILLA BLVD
RE Number: 169462-0405
PROPERTY OWNER:
Name: ROBERTSON, THOMAS CLAYTON
Address: 1984 W SEVILLA BLVD
GENERAL CONTRACTOR INFORMATION:
Name: HUXHAM HEATING & AIR
, CAC057815
Address: 933 S 11TH AVE QA JAMES EDWARD GILBERT
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 $40.00
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: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845 11- - ,L-Ct} - 39-4
JOB ADDRESS: / q g LI & /1,,,c9 8(t/01 Lt/ - PERNIIT#
eiv
PROJECT VALUE$ 5-?. 00
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
AM# 9 ,e75 70y
Air Conditioning: Unit Quantity 1 Tons Per Unit S REQUIRED
Heat: Unit Quantity / BTU's Per Unit S 7,000 Seer Rating 1,5
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 I Ieat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Penn t 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 a plication 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 no. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.ho
Property Owners Name /l C bEetS0#12 Phone Number
Mechanical Company Huxham Heating&Air Conditioning, Inc. Office Phone 904-246-6721 Fax 904-246-0377
Co. Address: 933 11th Avenue South City Jacksonville Beach State FL Zip 32250
License Holder(Print): James Gilbert 1 Stat;Certifica 'on/Registration#CAC057815
Notarized Signature of License Ho 'er 11111 Ai
.a At .� IADE.DOWNING �wo s and subscribed before a this 10'11 day of 20 /7
st.;r, •' p.mn Public State of 216 Signature of Notary Public LL )J a lL4
�` �. t:omm�sslon M GG 042216
`QUA My Comm.Expires Oct 25,2020
I,� 1„„',t � Bonded through National Notary Assn.