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1728 MARITIME OAK DR - HVAC .>S 'vif ,( ,--41k, T, CITY OF ATLANTIC BEACH ,, 1`,v,,,. .:;,.-,; 800 SEMINOLE ROAD X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 •J111> ' MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-MECH-2982 Job Type: MECHANICAL HVAC ONLY Description: install one (1) 5-ton 60K-BTU AHU Estimated Value: $8,450.00 Issue Date: 1/17/2017 Expiration Date: 7/16/2017 PROPERTY ADDRESS: Address: 1728 MARITIME OAK DR RE Number: None PROPERTY OWNER: Name: RIVERSIDE HOMES OF N FL Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS GENERAL CONTRACTOR INFORMATION: Name: A/C MASTERS HVAC INC Charles Steven Crabtree, CAC1813854 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: AC and Refrigeration $40.00 Furnaces and Heating $20.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 PERMIT IS APPROVED ONLY IN ACCORDANCE Willi ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rA ` \ `SS CITY OF ATLANTIC BEACH �1 s) 800 SEMINOLE ROAD tOr - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 'm�J;31c? Total Payments: $119.00 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PHONE (904) 247-5826 Cashier Id: atlbcld\atlbbja Receipt Date: 1/17/2017 8:29:07 AM CITY OF ATLANTIC BEACH Receipt Number: 0S-72183 800SEMINOLERD Job ID: 17-MECH-2982 - install one (1) 5-to ATLANTIC BEAC,Ft.32233 n 60K-BTU AHU M2 - AC and Refrigeration $ 01'172017 08:29:06 40.00 CREDIT CARD Job ID: 17-MECH-2982 - install one (1) 5-to n 60K-BTU AHU M18 - Furnaces and Heating MC SALE $20.00 Card>; XXXXXV000 X8768 Job ID: 17-MECH-2982 - install one (1) 5-to SEQ C 2 n 60K-BTU AHU MDBPR - State Mech DEPR Surch Batch#: 281 arge $2.00 INVOICE 4 Job ID: 17-MECH-2982 - install one (1) 5-to Approval Code: 152090 n 60K-BTU AHU MDCA - State Mech DCA Surchar Entry Method: Manual ge $2.00 MOde: Onlne Job ID: 17-MECH-2982 - install one (1) 5-to Tax Amount: $0.00 n 60K-ETU AHU TP - Trade Permit Base Fee Card M $55.00 Amountr Information:Dnm115.00 SALE AMOUNT $119,00 Tender Cash $119.00 ; Tender Type: CC Tender Amount: $119.00 Change Due: $0.00 CUSTOMER COPY PERMIT IS APPROVED ONLY IN ACCORDANCE WIFII ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 n _A e Ct} _ Qct z JOB ADDRESS: ) 1-\�C� Kik�y1k 6 i1n z Ott. ( \ r-I\it_ PERMrr# ) b srn all PROJECT VALUE$ q7�d NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION . Air Conditioning: Unit Quantity I Tons Per Unit / Heat: Unit Quantity i BTU's Per Unit (40,000 Seer Rating Duct Systems: Total CFM 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. Property Owners Name K V e :S;d e i M,,s Phone Number Mechanical Company A1C P s,' ..s )1,) --)•-< Office Phone-1-1.)-Q991-- Fax a� yy n l Co.Address: LI LI 5 ) r'C.3 c— 1�-a w 1 , S Iv` k Jti'11 City 1S o.,,i.it State Zip a1).)," License Holder(Print): C�►-.a,. /Ls S, C1-►‘.L Sta''-"K�r�.": •n/Registration# (-4(?a) 3i51/ Notarized Signature of License Holder `mw Sworn and subscribed before 1 'this ILLII d�x o J' n t-w e 7 20.L... DEBRA ANN HOISINGTON Si ature of No Public J ,��� /ll '�.,-„ •':MY COMMISSION 0 00031926 ' ;� '.,' EXPIRES October 13.2020 a /A n C /v,Ll a ( rke4--.