27 N SARATOGA CIR - HVAC - 1r\1`JI✓.
�" �s J CITY OF ATLANTIC BEACH
_ c-) 800 SEMINOLE ROAD
`,j) ATLANTIC REACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
J:
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3479
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 A/C, 1 AHU, 2 TON
Estimated Value: ($2,850.00)
Issue Date: 3/14/2017
Expiration Date: 9/10/2017
PROPERTY ADDRESS:
Address: 27 N SARATOGA CIR
RE Number: 171790-0000
PROPERTY OWNER:
Name: NEWSTEAD, POLLY T
Address: 27 N SARATOGA CIR
GENERAL CONTRACTOR INFORMATION:
Name: Elite AC, LLC
, CAC1818659
Address: 10150 Belle Rive BLVD #1407
Phone: - -
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CFI'Y OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 ) 7 4 '`
Ph(904)247-5826 Fax(904)247-5845 �� �� 34 7 5
I
JOB ADDRESS: 21 NiSara •Ia Ci rc i . �l e ooh,f I . 733
PERMIT#
PROJECT VALUE$ 2550• ARI# 1 q 9 505 j REQUIRED
_Air Handling Equipment Only C1' Air Handling Unit&Condenser _Condenser Only
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Pons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION •
Air Conditioning: Unit Quantity l Tons Per Unit _�, �
Heat: Unit Quantity I ) BTU's Per Unit "L?�L(. Seer Ratin
Duct Systems: Total CFM RE UIRED
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: eat O.' if . >:a it 'midi. ','. 1 ' •5 T, t ',. ■e : W U.
1 i - ON: -ISZi1-Ib2.4I
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. n
Property Owners Name M\ ,1 Neis)f\f'O i Phone Numbe43O 7 21'7
Mechanical Company u-4.e. ftCLLC- Office Phoncq(, •-32-qpI ax gb -2r DQE
Co. Address: 5SJ1O fl.ovi dp Mining e!Id.5. 1 City JQC;MrivI1(g State a Zip32Z'57
License holder(Print): 1O ei I 4// State ertification/Registration# i S j 9
Notarized Signature of License Holder ,/ (/
Before me this /.3 day of I"il.�?'CA , 20 1-7
Signature of Notary Pub -----*-177) l 5-1-t j�j 4. _ c
Z rc C �\ :••'.-^•.;*'"' MARISOL RAMIREZ
l4 U l I / ( t _•• •..: MY COMMISSION#FF955844
L. l/V - :.,." EXPIRES January 31.2020
t4o/t:19(''',3 I burn Notwry5omcc corn
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
03114/2017 10:4111
CREDIT CARD
VISA SALE
Card# %X)00000(XXXX5256
SEQ#: 3
#' 320 CITY OF ATLANTIC BEACH
Batch
INVOICE 3 800 SEMINOLE ROAD
Approval Code: 044310 PHONE TIC BEACH, FL 32233
Entry Method:
Re (904) 247-5825
Manual
Cashier
Mode: Online er Id; atlbcld\atibbja
Tax Amount:
Receipt Date: 3/14/017 10:
$0.00 Receipt Number: 05-72630 45:`D AM
Card Code: M
Job ID: 17-MECH-3479 -
HVAC - I A/C, 1 AHU,
SALE AMOUNT $77.U<1 Job ID: 17 MECH 3479
W HVAC - 1 A/C, 1 AHU,
Job ID: 17-MECH-3479 - HVAC - 1 A/C, 1 AHU,
Job ID: 17-MECH-347
CUSTOMER COPY , 9 HVAC - 1 A/C, 1 AHU,
ob ID: 17-MECH-
3479 - HVAC - 1 A/C, 1 AHU,
Amount Due: $99,00
Tender Information: Cash $99,00
Tender Type: CC
Tender Amount: $99.00
Change DUe: $D.00