130 OCEAN GATE DR - HVAC • i Ail �.
�3 ' '�' ` � CITY OF ATLANTIC BEACH
'' :': 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
�;3»% INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0058
Description: 1 A/C, 1 AHU, 2 TON
Estimated Value: 0
Issue Date: 6/7/2017
Expiration Date: 12/4/2017
PROPERTY ADDRESS:
Address: 130 OCEAN GATE DR
RE Number: 173414 0220
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY INC
Address: 797 MAYPORT RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA AIR SERVICE & ENG.LLC
Address: 150 QA JOSE FERNANDEZ
PONTE VEDRA, FL 32081
Phone:
PERMIT INFORMATION:
11 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.
I
0
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, Ft 32233
Ph(904)247-5826 Fax(904)247-5845 f\ C(SI 7 - Doss
JOB ADDRESS: /3u 0 Cetm..4 501e_ w/V PERMIT#
PROJECT VALUES Y4 0 ARI# g G <Or) I REQUIRED
_Air Handling Equipment Only ` Air Handling Unit& Condenser —Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit 2. 0
Heat: Unit Quantity----/—
I BTU's Per Unit Seer Rating /
Duct Systems: Total CFM kW REQUIRED
REPLACEMENT 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
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 6Ac 4.l 4 </> '4 Phone Number_
Mechanical Company i l r«' , ',tr 4l 1rt Office Phone 823-9696 Fax 823-9995
Co.Address: 150 HILDEN RD#308 City PONTE VEDRA State FL Zip 32081
License Holder(Print): JOSE FERNANDEZ State Certification/Registration# CAC 1813923
Notarized Signature of License Holder 1•
�"' LILLIAN H.PAYNE fore me th(is 1 ) day of /., .—. _.� =_
a _ 20 / .
.. Commission#FF 899281 / �/
. , Expires November 11.2019 S nature of Notar Public . _ .
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_ i:.:,
y Cash Register Receipt Receipt Number
City of Atlantic Beach R1722
DESCRIPTION ACCOUNT I QTY I PAID
PermitTRAK $273.00
ACRS17-0057 Address: 134 OCEAN GATE DR APN: 173414 0215 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 1 $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
ACRS17-0058 Address: 130 OCEAN GATE DR APN: 173414 0220 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 1 $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
ACRS17-0059 Address: 138 OCEAN GATE DR APN: 173414 0315 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 1 $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: R1722 $273.00
Date Paid: Wednesday, June 07, 2017
Paid By: FLORIDA AIR SERVICE & ENG.LLC
Cashier: CT
Pay Method: CREDIT CARD 183326
Printed:Wednesday,June 07,2017 11:34 AM 1 of 1 1
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