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2263 W Oceanforest Dr 2015 HVAC CITY OF ATLANTIC BEACH _ j 800 SEMINOLE ROAD J X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-757 Job Type: MECHANICAL HVAC ONLY Description: 2 cu 2 ahu 7 tons ductwork Estimated Value: Issue Date: 4/7/2015 Expiration Date: 10/4/2015 PROPERTY ADDRESS: Address: 2263 W OCEANFOREST DR RE Number: 169463-1004 PROPERTY OWNER: Name: RING, JOSHUA MICHAEL Address: 2263 W OCEANFOREST DR GENERAL CONTRACTOR INFORMATION: Name: OCEAN STATE HEAT &AIR,INC. Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES 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: Furnaces and Heating $28.00 AC and Refrigeration $56.00 Air Duct System $8.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $151.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT iPREPARE IN DUPLICATE) Permit No- Tax Folio No. State of f I Or-, (r County of V To whom It may concern: The undersigned hereby informs you that improvements will be made to certain real property.and in accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF COMMENCEMENT. tt Legal description of property being improved: bceci )W&1.L Lt v i+- 3 L-o't -2- Address Address of property being improved: cam+ie�r.f►c T��a� i.,, 51- 322 3-:� General description of improvements: (`e 1216de, �)ea'h Ylc fi A l( Omer Address 2Z0) CIES e .fi Dr LXt- X 33 Owners interest in site of the improvement yy,01 C Fee Simple Titleholder(if other than owner) Name Jj r Address V Contractor Gjr' nn C•— ��t+;pk,Address U1 /~�t n � Phone No. ql7('L`I -KZ5) Fax No. D Surety(if any) t 1 • �'�1 Address Amount of bond S LL[ I Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. vl Name Address Phone No. Fax No- Name of person within the State of Florida:other than himself.designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself.ormer designates the follow- person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY erA c NER Signed Before m is y of In the 0 County to of Florida, ally appeared gain by P.MORALES Doe#201507/7875,OR BK 17123 Page 1921, han-�elE herself and affirms that all statements and dec�declarationss her YVETf@ Number Pages: 1 are true and accurate kA& p OTAW K" Recorded 04'07%20'15 at 03:50 PM, STATE OF FLORA Ronnie Fussell CLERK CIRCUIT COURT DUVAL / 1 I�V���,(_ `v+., e f 3fnfT18T4 COUNTY RECORDING$10.00 Notary bticatlarge. tate of County of My c misslon expires: Personally Kw-%,n —or Produced Identification MECHANICAL PERMIT APPLICATION YCOR 3) CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904)247-5845 JOB ADDRESS: 9,a&3 ©L�st �m�f� �-�(c�ct��c Qe�.IC 1, 3d-2 3 3 PERMIT# g-7o43�A_ PROJECT VALUE $aZ ®(;p`w ARI# -tq 10`t 74- 3 `°"' REQUIRED Air Handling Equipment-Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Seer Rating- Duct Heat: Unit Quantity. _ BTU's Per Unit gREQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING:SYSTEM INSTALLATION Air Conditioning: Unit Quantity A Tons Per Unit 1 S,-O` `1 Heat: Unit Quantity -I BTU's Per Unit 36. a`t8 n Seer Rating REQUIRED Duct Systems: Total CFM 11,10 FIRE PREVENTION wires 3 sets of plans) ' Fire Sprinkler System Quantity (Raquires 3 sets of plans) Fire Standpipe Quantity Reequires 3 sets of plans) Underground Fire Main Value (Requires 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: 41ew U ,4 W©r k 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 �� 5" SSSS PropertyOwners Name/' h4-4 �Vr' Mechanical Company (�Cert�r S f�e 4ea l� A!) Office Phone�`tq-���1 Fax X14`1'99 Zt9 Co.Address: I�l'1 b ( ( ` c e- 13 to City I�cy1 State Zip 3 6 f✓ License Holder(Print): t G • .J e Certification/Registration# Notarize atIAWWL�o w , ^ NOTARY PUBLIC Of �/ 2 STATEOF FW A Before m COMM EE8791 Expires 30201 Signature of No Pu lic