ww,
I live in Tampa, and this means 5 months of serious heat. I have a couple of tube monoblocks (14 tubes per monoblock) in my Listening Room, and yes, they do generate a lot of heat.
They are well-ventilated, however, as they sit on the floor next to the speaker they drive. So, that is not an issue for me. This room is completely enclosed, 16' x 14.5' x 8', and shares a separate A/C unit with one other room (and a full bathroom). Like Josh, I would guess this Listening Room is easily 10 degrees hotter than the room next to it.
Note I keep my amps on 24 hours a day - 7 days a week (and Tampa is considered the lightning capital of the US). If I were to only power them up when I wanted to listen to them, the heat in this room would not be as much of an issue. But my opinion is that leaving them on extends the life of the output tubes (and this is a good thing). For example, my amps have now been on continuously for over 3 years, and the original tubes are still going strong.
For me, I would prefer leaving the amps on, and being forced to turn the A/C a little colder prior to a listening session (and the extra cost associated with that) versus turning the amps off between sessions which might lead to more frequent purchasing of output tubes. If my Listening Room was not on a separate A/C system from the main house, I might not take this path (as I'm a cheapskate

).
Kevin