1740 MARITIME OAK DR - HVAC f- ------ CITY OF ATLANTIC BEACH
\Sl 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
Jr: INSPECTION PHONE LINE 247-5814
.0i 1>r
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
4 JOB INFORMATION:
Job ID: 17-MECH-3469
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 A/C. 1 AHU, 4 TON
Estimated Value: $6,895.00
Issue Date: 3/14/2017
Expiration Date: 9/10/2017
PROPERTY ADDRESS:
Address: 1740 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 $32.00
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 AM) THE FLORIDA
BUILDING CODES.
SL=V-r
0 - °' r '� CITY OF ATLANTIC BEACH
a - •
:; j _;' 800 SEMINOLE ROAD
,i ATLANTIC BEACH, FL 32233
J INSPECTION PHONE LINE 247-5814
______.}
Total Payments: $115.00
PERM'I IS APPRON ED ONLYIN ACCORDANCE W111I ALL CI'll' OE A"fLANI'IC BEA(II ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH I -7-m �_ ,3z19
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
/
JOB ADDRESS: 11D it,, 4- ,, , ),,-,v, PE r# /6-Sok-JW
PROJECT VALUE$ q-5-
NEW
I-5NEW MR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity l Tons Per Unit
Heat: Unit Quantity BTU's Per Unit i--1600 Seer Rating
Duct Systems: Total CFM i 0 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 R\I t' S i ci44e a acs • Phone Number
Mechanical Company A-I C PILL;It Ks J !14.- , n c Office Phone 1 '9 7
Q9S-Fax .)J--99 z/4`
Co.Address: LI Li 5 } Vs S 6-a- 8 _ A/ S {� 0 O L1 City wCtls n J 11 a State �n nZip c-15�
License Holder(Print): (1 a,Its . , Li---6.1.04-re
/v&L1 re C fication/Registration# C/k. /�) 3�6
Notarized Signature of License Holder �--^�l ~~'�
worn and subscribed before m •s 11)4144-0.,-- 20
;•if`�+i DEBRA ANN HOISINGTON
•'?MY COMMISSION#GG031 ignature of Notary Public
", '. EXPIRES October 15,2020
bt( 00 .HC@ "I Q_4-
\ ATLANTIC BEACH
ss
;-, PERMIT RECEIPT
151,
I:40E194f. March 13, 2017
PERMIT DESCRIPTION: HVAC- 1 A/C. 1 AHU, 4 TON
PERMIT NUMBER: 17-MECH-3469
ADDRESS: 1740 MARITIME OAK DR
OWNER:
Furnaces and Heating $24.00 CITY OF ATLANTIC BEACH800 SEMINOIE RD
ATLANTIC BEAC,FL 32233
AC and Refrigeration $32.00 03 14 2017 10:55:41
CREDIT CARD
State Mech DBPR Surcharge $2.00 MC SALE
CARD x XXXX)0(XXXXXX8768
INVOICE 0003
State Mech DCA Surcharge $2.00 SEQ;;: 0003
Batch u: 000517
Approval Code: 155355
Trade Permit Base Fee $55.00 Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
Totals:
$115.00
SALE AMOUNT $115,00
CUSTOMER COPY
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