387 10TH ST - HVAC �� CITY OF ATLANTIC BEACH
!'z' s 800 SEMINOLE ROAD
.5 ATLANTIC BEACH, FL 32233
...tonic) INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0047
Description: 1 A/C. 1 AHU, 2.5 TON
Estimated Value: 0
Issue Date: 6/1/2017
Expiration Date: 11/28/2017
PROPERTY ADDRESS:
Address: 387 10TH ST
RE Number: 170093 0000
PROPERTY OWNER:
Name: MUELLER CONRAD B
Address: 387 10TH ST
ATLANTIC BEACH, FL 32233-5529
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Tarheel Heating &Air Conditioning, Inc.
Address: 518 Rosebud LN
NEPTUNE BEACH, FL 32266
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845 e Rs r7-0047
JOB ADDRESS: ! /17 PERMIT#
ov
PROJECT VALUE $ y 192 ARI# 1'ags'3 ciLr REQUIRED
r
Air Handling Equipment Only E ui ment 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 1 Tons Per Unit 02 1/1Z i /��' ��
Heat: Unit Quantity 1 BTU's Per Unit .30 act' 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
.LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) ,
Wells
)THER:
rmit 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
is 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
A. The permit does not give authori to violate the provisions of any of r tate or local law regulation construction or the performance of construction.
roperty Owners Name I N I Phone Number �l�� 7 ru97/
lechanical Company / /7{'� ; ij V-n Office Phone Fax
o. Address: 5 ` /glad ' 4 City 6r 'U, Stat Zip 3
irG d
icense Holder(Print): _ !'i � o �_ O'v � Stat�ert �• egistration# G /?��8 y
/
otarized '- t,�,.e oft t P. �r IP'' Lam/ ,`!
y-. .,' EXPIRES:October us,^ 19
'•;a••;1;°."• BondedThruNoaryPuhficUn for: me this / day of
Signature of Notary Public 9—
O 40