262 2ND ST HVAC s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
70B INFORMATION:
Job ID: 15-MECH-1787
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 4 tons
Estimated Value:
Issue Date: 7/27/2015
Expiration Date:___1/23/2016
PROPERTY ADDRESS:
Address: 262 2ND ST
RE Number: 172542-0000
PROPERTY OWNER:
Name: SMITH III,CARL HOLT & JULIA L,
Address: 4670 BADEN LN
GENERAL CONTRACTOR INFORMATION:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
Phone: 904-722-8995
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:
Furnaces and Heating 624.00
AC and Refrigeration $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55 00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY QF A'T'LANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: PERMIT
PROJECT VALUE $ � 'S►
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 4
Heat: Unit Quantity BTU's Per Unit /D k', O Seer Rating-. y, U
Duct Systems: Total CFM /h o REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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.
Phone Number
Property Owners Name �o�< -U c s
Mechanical Company e - Office Phone �� � Fax_-Z-)1 �Syy
j t " a �/ City u C 1r'S� :�/e State �� Zip , J
Co. Address: �J V�S�• w
License Holder(Print): v c ,? r z State Certification/Registration#
Notarized Signature of License Holder _ / 5
DEBRA ANN HOISINGTON
Sworn and subscribed before me,�this �3 r< day of �� 20
*: MY COMMISSION#EE213758 Signature of Notary Public
EXPIRES October 15 2018
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