154 BEACH AVE - HVAC � ' CITY OF ATLANTIC BEACH
' >;---;r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�;3i� INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL OTHER -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MCRS17-0001
Description: HVAC- MINI SPLIT HEAT PUMP, 2 -1 TON A.H. & 1 -2 TON COND
Estimated Value: 0
Issue Date: 6/27/2017
Expiration Date: 12/24/2017
PROPERTY ADDRESS:
Address: 154 BEACH AVE
RE Number: 170209 0000
PROPERTY OWNER:
Name: **CONFIDENTIAL**
Address: **CONFIDENTIAL ****CONFIDENTIAL **
**CONF **, XX #
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: DONOVAN HEATING &AIR
Address: 532 S 3rd ST
JACKSONVILLE BEACH, FL 32250
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 CRS
Ph (904) 247-5826 Fax (904) 247-5845 (IACRS i 7 -0001
JOB ADDRESS: 6L LJ. J1,1f t, PERMIT# ?t S 1-2-9H b
O�
PROJECT VALUE $ (-4000 ARI# 9 1.630 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 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: M,;-Su(o'I sl,% N\h\ S pl i4- 144cm iU 6%slam, 41.ot. Ns Le4At*ct
O‘NQ CANa-cANSucaTc +lelcl 6 L.Q. Sc
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
chis 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. "Che 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 i...o".4 6 u 415 Phone Number ' -'f7C3
Mechanical Company VOsNkfttir , .e1-- NriC Office Phon \-.3-- Fax
Co. Address:-;\E (. &k ) it, (Cc: vv— City Joy. State l Zip3`�,J' S0
License Holder(Print): \--MN\ v State Certification/Registration#C�,cA'Z�7li l
Votarized Signature of License Holder _
4tY .ks RICHARD TOMPKINS Before me this og day of vm 20
`e• f•. tei Commission#FF 040399
-..,i,;.-a' Expires July 29,2017
.ct,r i\V Bonded TAN Troy Fon lnusence800-38$.7018 Signature of Notary Public