1964 BEACHSIDE CT - HVAC �`'� sA CITY OF ATLANTIC BEACH
, 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"toil r%' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0029
Description: 2 A/C, 2 AHU, 4 TONS TOTAL
Estimated Value: 0
Issue Date: 5/16/2017
Expiration Date: 11/12/2017
PROPERTY ADDRESS:
Address: 1964 BEACHSIDE CT
RE Number: 169542 0586
PROPERTY OWNER:
Name: SALERNO MICHAEL
Address: 1964 BEACHSIDE CT
ATLANTIC BEACH, FL 32233-5955
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TOTAL AIR CARE, INC.
Address: PO BOX 2004 QA MICHAEL RICHARD NIQUETTE
MIDDLEBURG, FL 32050
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
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� Ph(904) 247-5826 I rt.Fax (904) 247-5845 Cts\ 7- v o z
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rOB ADDRESS: 1 � 1P)CCC\ \l . l :� . PERMIT#
PROJECT VALUE $ 3 mu `'° ARI#61fr7711REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit _ _
Heat: Unit Quantity BTU's Per Unit_ Seer Rating
Duct Systems: Total CFM REQUIRED
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 7i Tons Per Unit 2 6---
Heat: Unit Quantity 'L- BTU's Per Unit 34.4.61, 't
Seer Rating /
Duct Systems: Total CFM nU.) .IQ-- REQUIRED
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
,LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
ermit 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
lis 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
at. The permit does not give authority to violate the pvisions of any other state or local law regulation construction or the perfo ce of construction. /'
roperty Owners Name �11 ei "JP �rh�Q nil 0 Phone Number (0(�� 337'Al
Mechanical Company T \ �( CC\.(t Office PhoneGO Fa,(0'4) 1('6°61
:o. Address: r j- c. O.t v`7 City ''Ag V, • ' State FL Zip )�i
,icense Holder(Print): IVIk C CIet #v IcoveTle Sta, r e/ •:' ;''i' -t' tration# C v
Totarized Signature of License Holder . 11141_ ',
4";`;';;1';<:SARAH ANNE ROBERTSON ili
Before me this l day �� lit,��// 0 7
• fir MY COMMISSION#FF094516 ,,,.. ......_,a,
'°� EXPIRES February 20,2018 Signature of Notary Public ___
ao713o.64aea FlorioallotaryService.comillf 1011111111116,
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`` 4* Cash Register Receipt Receipt Number
a g p
City of Atlantic Beach R1568
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DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $99.00
ACRS17-0029 Address: 1964 BEACHSIDE CT APN: 169542 0586 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 2 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R1568 $99.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
05;1612017 15:08:28
CREDIT CARD
MC SALE
Card# XXXXXXXXXXXX1081
SEQ#: 7 '
Batch#: 365
INVOICE 7
Approval Code: 070560
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Cust Code:
Card Code: M
SALE AMOUNT $99,01
CUSTOMER COPY
Date Paid:Tuesday, May 16, 2017
Paid By:TOTAL AIR CARE, INC.
Cashier: BA
Pay Method: CREDIT CARD 7
or
Printed:Tuesday, May 16,2017 3:10 PM 1 of 1 li
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