1870 Seminole Rd HVAC permit CITY OF ATLANTIC REACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAG PERMIT
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3879
Job Type: MECHANICAL HVAC ONLY
Description: replace 3.5-ton 42K-BTU AHIJ
Estimated Value: $4,900.00
Issue Date: 5/3/2017
Expiration Date: 10/30/2017
PROPERTY ADDRESS:
Address: 1870 SEMINOLE RD
RE Number: 172020-0520
PROPERTY OWNER:
Name: ARRINGTON, CLARENCE M
Address: 1870 SEMINOLE RD
GENERAL CONTRACrOR INFORMATION:
Name: A/C MASTERS HVAC INC
Charles Steven Crabtree,CAC1813854
Address: 11243 ST JOHNS PKWYAPT 3 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 Mach DCA Surcharge $2.00
Trade Permit Base Fee $55,00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH O"INANCES AND THE FLORIDA
BUILDING CODES.
c
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ATLANTIC BEACH
PERMIT RECEIPT
May 3,2017
t—, u i I t",
PERMIT DESCRIPTION: replace 3.5-ton 42K-BTU AHU
PERMIT NUMBER: 17-MECH-3879
ADDRESS: 1870 SEMINOLE RD
OWNER: CITY OF ATATIC BEACH
800 SEMINOLE RD
AC and Refrigeratlon $28.00 ATWIC BEAC,R.3203
OS,01,2017 14:53:53
Furnaces and Heating $20.00 CREDIT CARD
MC SALE
CUD XWVX=8768
State Mech DBPR Surcharge $2.00 DRICE 0006
SEQ#� 0006
Bkh;: 000553
State Mech DCA Surcharge $2.00 Approval Code: 165532
Bty Mdhod: Marual
Trade Permit Base Fee $55.00 Mok Orft
Tao Arrount $000
Card Cok M
Totals: $107.00 WE AMOIJU $10.1
CUSTOMER COPY
NftcHANjcAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beech,Fl,32233
Ph(904)247-5926 Fax(904)247-5945
JoB ADDRYM: 5f-M ko� —PERMIT#
PRojEcT vALuE s �9DO,
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity— Tons Per Unit
Heat- UnitQuiumity— BTU'sPerUmt SeerRafing—
Duct Systems; Tota1CFM REQUIRED
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM IN T IN
QU
Unit Quantity BTU's Per Unit S RLY 0
Air Conditioning: Unit qumr�ty Tons Per Unit AM�eli
Heat: Seer mvAR
Duct System: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of Plans)
Underground Fire Main Value 3 sets of plons)
Fire Hose Cabinets Quantity 3 sets of plans)
CommercialHoods quoulty OxEsetsotplarisj
Fire Suppression Systems Quantity (Reiluires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefibricated Fireplace Qty— Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevatars/Escalamrs
ALL OTHER.GAS PIPING Beat Exchanger
Quantity of Outlets Pumps
#VenwdWa]lFumace,s Refrigerator Condenser BTU's—
#Water Beaten Solar Collection Systems
Tanks(gallons)
wells
OTHER:
Pcrnik b�void if workdmna Wfthin RAX MORM Pcrwd�Wmk is saspended"amdcoW aDr S'x nWMdb&1 bmcbY*Crtiff tbal h�mod
th4applkoi..dk.mth.�wbc�wd� All pmAlims of 1M=dMdk�9�i09dds-WkWH1 bCCompfiodwftbWhCdWWoifi-d
wwtn�p=ftdm�v.�ffikhoff�ywwowcaw - -...0fWy
Phone Number 0-
Property Owners Name 00-rM(c ;1.Jnr) 1�57U-0�19,5�
Mechanical Company A) C 4114" 41 OffimPho,,IJ -_MrFm,—DL—i'9K
Co.Address: st" kDoy city StaierL zjp -l)-,�-r
g '9
lAcense Holder(Print); ck�,ks -S, 6"4�-p -S 3Z
Notarized Sknature of License Holder
I subscribed beforem— day, 20
kANN PMSINMON Twoon am -3
DEOR, TON —7c
MY MMMISSiON N�IGWS26$ignature of Notary Public .....
EXRRESCw!0W15.2020 j