544 Atlantic Beach Ct HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-MECH-2293
Job Type: MECHANICAL HVAC ONLY
Description: install two (2) new 2.0 & 3.5-ton AHLIs
Estimated Value: $9,000.00
Issue Date: 10/12/2016
Expiration Date: 4/10/2017
PROPERTY ADDRESS:
Address: 544 ATLANTIC BEACH CT
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: A/C MASTERS HVAC INC
Charles Steven Crabtree,CACIS13854
Address: 11243 ST JOHNS PKWYAPT 3 OACHARLESSTEVEN
CRABTREE
Phone: 904-722-8995
PERMIT INFORMATION: Sticker for overcuffent 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 $20.00
AC and Refrigeration $44.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERAUT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHVAC, INC FAX NO. :9047228944 Oct. 12 2016 10:15AM P2
mtcuAmcAL PERmirr APPLicATION
CITY oF ATLANTic BEAcH
800 Seminole Rd Atlantic Beach.FL 327,33
Ph(904)247-5826 Fax(904)247-5945
JoxtAoxmm: 52jq LAn�, C.�,4, —PFRMFT 0 A—Srl �4
PROJECT VALUE ZOO
NEW AIER CONDMONING & HEATING SYSTEM INSTALLATION
Air Conditioning; unit Quantity -3 Tom Per Unit J V. A((�4 no
Heat. Unit Quardity BTU'sPorunit 0 Seer ltatinj--�
Duct System: Total CFM REPUBMD
REpLACF,MENT AM coNDMONING & HEATING SYSTEM INSTALLATION
ARI#
Au Conditioning: Unit Quantity— Tonsperunit im–PUDW
Heat: Unit Quantrty BTU'sPerUnrt SeerRathW—
Duct Systems: Total CFM - REQULRED
FIRE PREVENTION quan�ty (Requkes 3 sets of plans)
Fire Spriolder System Quantity (Requires 3 sets of plans)
Fire Standpipe Main Value rq 3 gets of plans)
Underground Fire q=3 sets of phons)
Fire Hose Cabinets Quantity Reilubres 3 sets of plow)
Commercial Hoods Quantity I
Fire Suppression systems Quantity (Requires 3 sets of ph=)
I =PLACES MISCELLANEOUS.
Prefibricated Fireplace Qt7— Automobile lifts
Gas Piping Outlets Boilers BTU's
ElevatorF/�rs
ALL OTHER GAS PIPING Hcat Exebanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser TT-019—
#Water Heauss; Solar Collaic-don Systems
Tanks(gallous)
Wells
OTHER-
P�h b�void if work dDIIII Wt WMM ask MOM P-W-wo&'s sapmded wabmidowd for six mmdh&I WOW�fy 0,211
thisapp1icWkamdkamIthc%IvwtI,be�=d� Att pmvislow of hiw;mid ordhOnm RowniftIbb"rk-01 be compVcd-hh WhedIff sPectfled
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Property Owners Name ENtry)e1c M t-S Phone Number
Mechanical company Ten,�—101B=Phoueuvm--�riax-,,��49
Co.Address: *Y-6 �jndcl City state
-9—, zip
LicarOeHolder Ist). CL L �ation 14-c,4< rh j
N"vized signaiure ofLiceme Holder
Sworn and subscribed before yof 20
DEBRA AN"= GIT Signature
MY CommW NO:NC2 �6:8 of Notary Public
EXPIRES OODW162010 I
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, Fl- 32233
PHONE (904) 247-5M
Cashier Id: atib,ld\atlbbja
Receipt Date: 10/12/2016 2:52:58 PM
Receipt Number; OS-71471
JDh ID: 16-MECH-2293 - jmt,I I twu (2) new
2.0 & 3.5-ton AHUs MIR - Furnaces and Wait
ng $20.D0
Job ID: 16-MECH-2293 - install two (2) new
2.0 & 3.5-tm AHU, Mz RE and Refri watio
r $44.00
2 Jab 10: 16-MECH-2293 install two (2) new
.0 & 3.5-tm AHU, MDBPR - State Mech DBPR
Surcharge $2.00
2 JDb ID: 16-MECH-2293 - inst.ii t. (2) new
.0 & 3.5-tm RHU, mDCA - State Mach DCA Su
rcharge $2.00
Jnb ID: 164ECH-2293 - instal I two (2) new
2.0 & 3.5-ton RHUs TP - Trade Permit Base F
as $55.00
Amount Due: $123.00
Tender Infw-ltiln: Cash $123.00
Tender Type: CC
Tender A�,t: $123.00
Change Due: $0.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,A.32233
1042016 14:S2:02
CREDIT CARD
VISA WE
Card Xmumms
SEQ A: 10
Bft A: 223
INVOICE to
APProval Code: 060600
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mak Oft
Tax kwt� goa
WC* M
SALE AMOUNT
CUSTOMER COPY