1722 MARITIME OAK DR - HVAC - rVlf----„,r
o CITY OF ATLANTIC BEACH
.2 800 SEMINOLE ROAD
, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3123
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 3.5 TON
Estimated Value: $6,675.00
Issue Date: 1/27/2017
Expiration Date: 7/26/2017
1 PROPERTY ADDRESS:
Address: 1722 MARITIME OAK DR
RE Number: None
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:
Furnaces and Heating $24.00
AC and Refrigeration $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
s, CITY OF ATLANTIC BEACH
s- 800 SEMINOLE ROAD
J+j AATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $111.00
•
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHVAC, INC FAX NO. :9047228944 Jan. 27 2017 10:45AM P2
MECHANICAL PE 'ITT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: • r' -Pim e_. v.A . 7-1y PERMIT 4./L_-,S1 ''1-1
PROJECT VALUE$
NEW AXR.CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit : • -- /
Heat: Unit Quantity I BTU's Per Unit 10 KW Seer Rating_ 5, 0
Duct Systems: Total CFM NO 0 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Axl#
Air Conditioning: Unit Quantity Tons Per Unit __ REQUIREDHeat: Unit Quantity BTU's Per Unit _r__. 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)
OTHER: C`0.I\CC,"tC-',_ J ci%czv'cc_.__ dL S*
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that I have read
this application and know the same to be true and correct AU provisions of laws and ordinances governing tis v.v. 1n = -- — �+t+ � _+�
or not The permit does not give authority to violate the provisions of a y othe,-sts.►P^r I^^,01 t......,•_....1..' -- --4• - _.. ,c. --
k-ki6r-s , e_
4 w .A-Property Owners Name _ Phone Number
Mechanical Company_AZ , --'1J An.G. Oce Phone-1)34g 95 Fax''a. -g9/if
Co. Address: L/'15 v'e.sG�- k.,,, 4,.. 1 ._,S f i.�. k. apt( City u r eso•„1;1 6 State . Zip 3.).115--
License Holder(Print): Ci-a_r S S . C,,- . L4vt- - 0;a cation/Registration# CA'< 191315
Notarized Signature of License Holder -'���
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. - . _. - 20) 7
=. PYEBoRMAMANt4Hry0*1SG1NcGoaOxNsSignature
dosfubNosctaryribedPubbelifcorem .'s , : o-f
EXPIRES October 16,zoo
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jlj, ATLANTIC BEACH
PERMIT RECEIPT
\ January 27, 2017
PERMIT DESCRIPTION: HVAC- 1 AC, 1 AHU, 3.5 TON
PERMIT NUMBER: 17-MECH-3123
ADDRESS: 1722 MARITIME OAK DR
OWNER:
CITY OF ATLANTIC BEACH
Furnaces and Heating $24.00 800 SEMINOLE RD
ATLANTIC BEAC,ft 32233
01;27!2017 10:05:52
AC and Refrigeration $28.00 CREDIT CARD
MC SALE
State Mech DBPR Surcharge $2.00 CARD; XXXXXXXXXXXX8768
INVOICE 0001
SEQ#: 0001
State Mech DCA Surcharge $2.00 Batch#: 000486
Approval Cock: 170959
Trade Permit Base Fee $55.00 EntryManual
Mode: Online
Tax Amount: $0.00
Card Code: M
Totals: $111.00 SALE AMOUNT $111,00
CUSTOMER COPY
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