336 2ND ST - HVAC 0+ I rie,
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
9V = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
03319;'
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-677
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3 TONS
Estimated Value: $4,400.00
Issue Date: 3/31/2016
Expiration Date: 9/27/2016
PROPERTY ADDRESS:
Address: 336 2ND ST
RE Number: 169764-0000
PROPERTY OWNER:
Name: BYRD, SALLY F AND LARRY, *
Address: 336 2ND ST
GENERAL CONTRACTOR INFORMATION:
Name: HUXHAM HEATING & AIR
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:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Furnaces and Heating $24.00
AC and Refrigeration $24.00
Total Payments: $107.00
PERMIT' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID
BUILDING CODES.
03/21/2016 08:07 9042460377 HUXHAM HEATING & AIR PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Pax(904)247-5845
31 JOB ADDRESS: �K'J S ? PERMIT#
00
PROJECT VALUE $ Y<I 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 — _ REQUIRE,)
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 ARI# FO? ,C�J7p
Heat: -- Tons Unit 3 REQUIRED
Unit Quantity BTUs Per Unit, �,ppv Seer Ratio
Duct Systems: Total CFM _ RE UIRED
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 BTT_T'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.r hereby certify that I have rcad
this application and know the Sena;to be true and correct. All provisions of laws and ordinances governing this work will be complied with whcther specified
or not. Thc permit does not give authority to vio etc the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name �J /
Phone Number
Mechanical Company Huxham Heatin &Air Conditionin Inc. Office Phone - 46-6721 Fax 904-246-0377
Co. Address: 933 11th Avenue South City Jacksonville Beach State FL Zip 32250
License Holder(Print): James Gilbert
Sta. Certification/Registration# CAC057815
Notarized Signature of License Holder i
S om -a d subscribed before e this c-c I day,o f j,a,t 20 /Lo
4 ' MIAHAADSt1ADE•OOWNING S ,i : ure of Notary Public ►j��. �' -
Notary Public;St>ttb of flortda y
t ,er.,c My Comm.folios Oct 21,2016
.� Z r Commission#Et.845408
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