1781 Atlantic Beach Dr HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: AGRS17-0043
Description: 2 A/C, 2 AHU, 2.5&3.5 TON
Estimated Value: 0
Issue Date: 5/30/2017
Expiration Date: 11/26/2017
PROPERTY ADDRESS:
Address: 1781 ATLANTIC BEACH DR
RE Number: 169505 1485
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
JACKSONVILLE, FL 32246
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 ,
Ph(90 r4)247-5826 Fax(904)747-5845
JOBADDRFw: - O ) J��/4nt Z �C )rYE PIItRM[r#
PROJECT VALUES_
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION
.. Air Conditioning: Unit Quantity 2 Tons Per Unit .1 S 9 -19
HeatDuct tICF
:Systems: Unit
Q�Mty BTU's Per Unit Irpo4vJ,d1v Sea Rating /,j
�HII2- REQUIRED
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
#t REQUAD
Heat: Unit uanQ
Duct Systems: Total CFM
BTU's Per Unit Seer RatingRE UIRED
FIORE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fne Main value (Requires 3 seta 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 Butlers BTU's
Eteviums/Escalators
ALL OTHER GAS PIPING Heat Excha lga
Quantity of Outlets - Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Soler Collection Systems
Wells (gallons)
OTHER:
Permit becomes void if wort doesnot commove within ash:month period orwork is suspended crabmdmed for six months I hereby caafy thstl havered
thiaapphcWmandlmowthasmaetobehuemidconad. All pmvisionsof1a mdordinmcesgovmningthiswmkwillbecamplkdwithwhetha specified
urmt the pemdtdoes not give authority bvioWe 1We ma��=,m�pa of a" stele m local less,ropleare caoswcam or tlw perimmsne ofwnmvclion
Property Owners Name ^ i UCr".q< i .Jz HA —.7 o PhaneNlmfila
Mechanical Company Air Itti/t�R�t rs f� /1Y't�r Tri cc Office Phone Fall-L 9
Co.Address: 4 N S TVi'.SlcIo- (2�a !!l i, I .Irrc- ' 0 N City - z 4.Nn 1�r- Slow .f- Tap ��r
License Holder(Print): C�a,r I td S. rS e catiodRegiahation# �.�gv
Notarized Signature of License Holder I l
Wit... • DEBRAANNNOISINGTON 11
w`omand
of Notary
dg�ypf 20�
couuissiosrGao31e2e igoanve of Notary Public
EgPISE80cbbm 15,2020
Cash Register Receipt Receipt Number
L City of Atlantic Beach R1655
DESCRIPTION • CITY PAID
PermitTRAK $99.00
ACRS17-0043 Address: 1781 ATLANTIC BEACH DR APN: 169505 1485 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 1 0 $55.00
AC AND REFRIGERATION 4550000-322-1000 1 2 $16.00
FURNACES AND HEATING 455-MO-322-1000 1 2 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000.2080600 1 0 $2.00
STATE DCA SURCHARGE 45541000-2080]00 0 $2.00
TOTAL • • E
Date Paid:Tuesday, May 30, 2017
Paid By:A/C MASTERS HVAC INC
Cashier: BA
Pay Method:CREDIT CARD 102743
Printed:Tuesday,May 30,2017 3:25 PM 1 of 1