1734 Maritime Oak Dr 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3340
Job Type: MECHANICAL HVAC ONLY
Description: install 3.5-ton 42K-BTU AHLI
Estimated Value: $7,225.00
Issue Date: 2/24/2017
Expiration Date; 8/23/2017
PROPERTY ADDRESS:
Address: 1734 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: 11243STJOHNSPKWYAPT3 QACHARLESSTEVEN
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 $28.00
Furnaces and Heating $20.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
roml Payments: *3LU/.UU
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL Cj� OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1%UCHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(9D4)247-5926 Fax(904)247-5845
JoB ADDRM: 1131 0&,� �r.11,- PERMrf#Jkl-S)l
PROJECTVALUE$
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditiomug; Unit Quantity Tons Per Unit 5
Hart: I BTU's Per Unit Seer Ratim
U211%;mn," REQULR
Duet Systems: T ED
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quanqty Tons Per Unit "e-up"7—
Heat, Unit Quantity_ BTU's Par Unit Seat Ratmg��QVWD
Duct System: Total CFM
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Five Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire How Cabinets Quantity (Requira;3 sets of plams)
Commercial Hoods Quantity (Requir�3 sets of Plans)
Fire Suppression Systems Quantity (Requim 3 sets of plans)
FERE PLACES MISCELLANEOUS:
Prefilbricated.Fireplace Qty— Automobile lifts
G=Piping Outlets Boilers BTU's
Elevators/Escalamrs
ALL OTHER GAS PIPING Heat Exclianger
Quantity of Outlets Pmps
#Vented Wall Furnwe% Refrigerator Condenser BTU's
0 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
P�t b��.id if .k does�w.witift.sm wth periml f.,six�I hmsb, I M"—d
this appliestim srwlkrss�lhe�c W bc1rucd� All pmisio.s.f l..nd oidin.g.,.ig this work will b...plied�th wh�d.�ificd
m� T�p�itdomn�giwmtb"�Aoloetheprovisi�Ora"
Property Owness;Name R i J Crs;l). m,�s Phone Nurnber
mechanical company 6Ak HVAC -S, —0fficePhsmc'731'?99SFax
C,.Address: city Slide
Licalisse Holder(Print): #7cZ1
Notarized Sign a fure of License Holder
a
Swom and subscribed befmv mq* f 201
DEBRAANNHOISINGTON I I
Signal=ofNotary
UPMS 0�15,2020
I�- -,\—"j
ATLANTIC BEACH
PERMIT RECEIPT
February 24, 2017
PERMIT DESCRIPTION: install 3.5-ton 42K-BTU AHU
PERMIT NUMBER: 17-MECH-3340
ADDRESS: 1734 MARITIME OAK DR
OWNER: RIVERSIDE HOMES OF N Fl.
AC and Refrigeration $28.00 CITY OF ATLANTIC BEACH —
80 SEKNOLE RD
ATWMC BEAC,R.32233
Furnaces and Heating -�20 0-0 DZ 24,2017 CREDIT CARD 15:2144 —
State Mach DBPR Surcharge $2.00 CARD; mc SQ XkVZ=8768 —
INVOICE 0008
State Mach DCA Surcharge $2.00 SEQ 0008 —
W 000505
Amoval Code: 172235
Trade Pemit Base Fee $55.00 Enlry rvedw: mml —
mwe: Cnhm
Tax kwt: $0,00 —
Totals: Card Cok m —
$107.00 SALE AMOUNT
C(XrOMER COR(
1p NO
�,j�a 2A KC\A
OV K
J"N"J�Cb,