477 HELMSMAN LN - HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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: 17-MECH-3163
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5 TON
Estimated Value: $6,800.00
Issue Date: 2/3/2017
Expiration Date: 8/2/2017
PROPERTY ADDRESS:
Address: 477 HELMSMAN LN
RE Number: 170703-0414
PROPERTY OWNER:
Name: TOLBERT, CAROL T
Address: 477 HELMSMAN LA
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA HOME AIR COND DBA ARS
ZACEK, DENNIS JOHN, CMC1249939
Address: 4211 EMERSON ST QA DENNIS M BROWN
Phone: 904-803-9329
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY 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 l7- (4 -3 63
e--/ '/7 /7 -,7J' vii, / 2-,t foB ADDRESS: PERMIT#
PROJECT VALUE S ,0 u ARI# 79f co 7s--- REQUIRED
Air Handling Equipment Only LAir Handling Unit& Condenser Condenser Only
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit _ Seer Rating
Duct Systems: Total CFM REQUIRED
tEPLACEMENT AIR CONDITTING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unita / L/
Heat: Unit Quantity BTU's Per Unit 7`1 Seer Rating
Duct Systems: Total CFM REQUIRED
IRE 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)
TIRE 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 Refngerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER: .4 L.''(-)L.''(-) 7 -e G cx-7.. o[/ r /�/4
ermlt becomes void of work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have Rad
as application and know the some to be true and correct. All provisions of lows and ordinances governing this work will be complied with whether specified or
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance ofconstntction.
'roperty Owners Name Ca /o L 71.)z 4 l Phone Number ?a `1- V. .2 /a')
Mechanical Company �G0,t.i?4 /‹:, '{?, /e_ Office Phone 60`7 3/.1: S?oy 777 S''9'
:o. Address: -•/',2 1/ ,'ALT,J'-✓ S ;--- City --jd" State,.G Zip 7Z La-7
.cense Holder(Print): ) 5,-.4.//1 Z.4c 1/c State Certification/Registration#Cipt c /)S o 3 y(
lotarized Signature of License Holder I)4 ,,,,C, ` -
-,�* BOWIE R.TURKNEn fore me this.� day of / 4 . 20 1
fros Notary Public-State of Flotlda /
'' i Commission#FF 200032 gnaturc of Notary Public Si q►1L'��
": -1'r9 My Comm.Expires May 5,2019
i Oand rd through National Notary Assn.
Property Appraiser- Property Details Page 2 of 2
Int Flooring 11 11 Ger oayTlle_
DOM Area
Heated Effective Area Area Area Int Flooring 14 14 Carpet
Base Area 1336 1336 1336 Heating Fuel 4 4 Electric
Finished Open Heating Type 4 4 Forced-Ducted
Pow 8 0 2 Air Cond 3 3 Central NAS
Unfinished 360 0 162 �h.. �J
Garage Element Code
Total 1 1704 1336 1500 Stories 1.000
Bedrooms 2.000
Baths 1.000
Rooms/Units 1.000
2016 Not ie of Proposed Prop rty Taxes Notice(TRIM Notice)
Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Roiled-back
Gen Gov Beaches $210,916.00 $50,000.00 $160,916.00 $1,298.26 $1,311.66 $1,230.80
Public Schools:By State taw $210,916.00 $25,000.00 $185,916.00 $897.22 $846.66 $873.43
By Local Board $210,916.00 $25,000.00 $185,916.00 $414.24 $417.94 $403.25
FL Inland Navigation Dist. $210,916.00 $50,000.00 $160,916.00 $5.10 $5.15 $4.81
Atlantic Beach $210,916.00 $50,000.00 $160,916.00 $530.14 $535.61 $510.97
Water Mgmt Dist.SJRWMD $210,916.00 $50,000.00 $160,916.00 $48.15 $46.42 $46.42
Gen Gov Voted $210,916.00 $50,000.00 $160,916.00 $0.00 $0.00 $0.00
School Board Voted $210,916.00 $25,000.00 $185,916.00 $0.00 $0.00 $0.00
Urban Service Dist3 $210,916.00 $50,000.00 $10,916.00 $0.00 $0.00 $0.00
1 Totals $3,193.11 $3,163.44 $3,069.68
lust Value Assessed ValueT Exemptions Taxable Value
Last Year $258,196.00 $209,272.00 $50,000.00 $159,272.00
Current Year $264,330.00 $210,916.00 $50,000.00 $160,916.00
201.6 TRIM Property Record Card(PRCI
This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM
Notices)in August.
Property Record Card(PRC)
The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed.
201.6
2015
2011
44
•To obtain a historic Property Record Card(PRC)from the Property Appraiser's Office, submit your request here:
More Information
ontect U$ I Parcel Tax Record( GIS Mao(Man this arooerty on G000le Mao I Otv Fees Record
http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE-1707030414 2/1/2017
(1---''
J
ATLANTIC BEACH
Jr PERMIT RECEIPT
%9,;,,i, February 2, 2017
PERMIT DESCRIPTION: HVAC- 1 AC, 1 AHU, 2.5 TON
PERMIT NUMBER: 17-MECH-3163
CITY OF ATLANTIC BEACH
ADDRESS: 477 HELMSMAN LN 800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
OWNER: 0203.2017 08:47:08
CREDIT CARD
Furnaces and Heating $24.00
MC SALE
CARD N XXXXXXXXXXXX9176
AC and Refrigeration $20.00 INVOICE 0001
• SEQ 4: 0001
• Batch;: 000491
State Mech DBPR Surcharge $2.00 Approval Code: 085847
Envy Method: Manual
State Mech DCA Surcharge $2.00 Tax A• Online
Tax Amount: ;0.00
Cust Code:
Trade Permit Base Fee $55.00 Card Code: M
SALE AMOUNT $103,00
Totals:
$103.00 CUSTOMER COPY
PP\°
\INpF
\ I\