1680 MARITIME OAK DR - HVAC iL=J'J
.Alifr v��' CITY OF ATLANTIC BEACH
Sj\
f E ROAD
800 SEMINOLE
• 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-3496
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 A/C, 1 AHU, 4 TONS
Estimated Value: $6,950.00
Issue Date: 3/16/2017
Expiration Date: 9/12/2017 -
PROPERTY ADDRESS:
Address: 1680 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 ANI) TIhI: I I.ORM N.
BUILDING CODES.
\:-I �s\, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r ATLANTIC BEACH,FL 32233
\ /7 INSPECTION PHONE LINE 247-5814
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 .
Ph(904)247-5826 Fax(904)247-5845 `7 _1111E�' H J 49 Go
JOB ADDRESS: 1(f ) /'list-J-i (1k 1 rit/c., PERMIT# /6 'Srk'o2275
PROJECT VALUE$ 69'50
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit 11
_/ eO J
Heat: Unit Quantity / BTU's Per Unit DSeer Rating /
Duct Systems: Total CFM /600 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 N e rs fi d e. ) e eJ M.
e Phone Number
Mechanical Company —^ /C s 4F)V/evs - 3,...t Office Phone'7eJ-g99(Fax 71)- '4y
Co.Address: lig 5 1 yes Gam. +Wad ,..S-Gt iil-c. a 0 I City J s i R 0114//c State __ Zip 0)...6
License Holder(Print): C{tAt✓les Crit
j b-13-t e S . r • ••.__°egistration#Cc le 1 3 ,7
iiiviv��-
Notarized Signature of License Holder ...- -.. f
: k' DEBRA ANN HOISINGTON ;worn and subscribed before e this i d d ?Lvc 1 2017
'"MY COMMISSION#GG031926signature of Notary Public ti�i ��
., EXPIRES October 15,2020
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�' �,1 ATLANTIC BEACH
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N PERMIT RECEIPT
A--- March 16 2017
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PERMIT DESCRIPTION: HVAC- 1 A/C, 1 AHU,4 TONS
PERMIT NUMBER: 17-MECH-3496
ADDRESS: 1680 MARITIME OAK DR
CITY OF ATLANTIC BEACH
OWNER: 800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
Furnaces and Heating $24.00 0316;2017 09:59:16
CREDIT CARD
AC and Refrigeration $32.00 MC SALE
CARD A XXXXXXXXXXXX8768
State Mech DBPR Surcharge $2.00 INVOICE 0003
SEQ u: 0003
Batch#: 000519
State Mech DCA Surcharge $2.00 Approval Code: 175599
Entry Method: Manual
Mode: Online
Trade Permit Base Fee $55.00 Tax Amount: $0.00
Card Code: M
SALE AMOUNT $115.00
Totals: $115.00
CUSTOMER COPY
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