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589 COASTAL OAK LN - HVAC t y\l� `° CITY OF ATLANTIC BEACH (''' 't ., S n,., c-) 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-3785 Job Type: MECHANICAL HVAC ONLY Description: install 2.5-ton 30K-BTU & 4-ton 48K-BTU AHUs & 2600 CFM duct system Estimated Value: $11,645.00 Issue Date: 4/19/2017 Expiration Date: 10/16/2017 PROPERTY ADDRESS: Address: 589 COASTAL OAK LN 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: 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: AC and Refrigeration $52.00 Air Duct System $68.00 Furnaces and Heating $20.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL 1. ('I"I V OF ATLANTIC BEACH ORDINANCES AM) THE FLORIDA BUILDING CODI•:S. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 ' — M L L ii — 3 g S Ph(904)247-5826 Fax(904)247-5845 G JOB ADDRI Ss: f1,-o c�.S--)z,1 (�j 6c i,s (,c• ..v)e PE1tMTT# l7-Srl2-3097 PROJECT VALUE$ I,6`!6 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity ,) Tons Per Unit a S L Heat: Unit Quantity BTU's Per Unit 0,0 Y 1/ 'o u Seer Rating /-�, D Duct Systems: Total CFM .lI,00 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 Beat 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!mow 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 g ti e s c )J )11 e.s Phone Number A Mechanical Company /*�C /k 1 itrs )} ) A 1 .1-4(. Office Phone--)J; Q)--Fax 7J ? ? Co.Address: q61 6 —iv'e.seti, ,�� Sv..1-c <)-0`4 City uc Lcd i,),��c Staten ^Zip 3l��f/l License Holder(Print): C k-r,v )r..4 S, C'-o b�--i S , — . '••n/Registration#Cik. 1 d l 3�J5/ i��.`- Notarized Signature of License Holder - �-: orn and subscribed before th•is ISI-4day of 20 0 ;y• DEBRA ANN HOISINGTO' (� %¢Air.)MY COMMI3310N N 0G0319'`1a afore of Notary Public As.-•.- - �+� EXPIRES October 1'd•2020 CCsQ 0 "t, I CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 04:19,2017 CREDIT CARD 08.37'11 MC SALE CITY OF ATLANTIC BEACH Card 800 SEMINOLE ROAD ATLANSEQ#: �XXX8768 PHONE TIC BEACH FL 3'2 . (904) 247-5826 ` 33 Batch : ?�6 Receipt INVOICE Id: atlbcld\atlbb ja Approval Code; 1 Receipt NumbeDate:r 0S-7 942 39:46 AM Enby Method; 173274 Job ID: 234` Mode: Manual BTU & 4.17-ton 3785 - Tax Anent: Onlrie stem M2 t AC 48K-ETUand Refrigeration&install CFM duct OK- C�d Code; $0,00 Job ID: Sera t i on gS2 sy BTU 17-MECN-3785 - 00 M stem M5 ton 48K-BTU AHUs install 2.5-ton 30K- Tax Air Duct & 2500 CFM duct sy $1mm $58.OU J7�� Job ID: 17-MECN-378.5 - install BTU 8 4-ton 48K-BTU AHUs & 2.5-ton 30K- stem M18 _ 2600 CF Furnaces and HeatingM duct s Job ID: I7 E $20.00 Y CUSTOMER COPY M CH-3785 - Bfem& 4-ton 48K-BTU AHUsnstall 2.5-ton .00 MDBPR State , & 2500 CFM 30K- BTU DBPR Surcharge sy sJob ID: 17 $2 ton MECN 3785 - install 2 BTU & 4-ton tem hiDCA State TU eeh DCA 2600 CFM duct U y Surcharge $2.0 Job ID: 17 MECN _ ESPermit Base & 4 ton 48K-BTU-3785 tali 2.5 ton 30K m TP - Trade P ase2Fee CFM duct s AAmount Due: $199.00 $S5 00 Y Tender Information: Cash $139.00 Tender Type: CC Tender Amount: $139.00 Change Due: $0.00