63 Robert St HVAC permit ?I"1irir,
+ 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: ACRS17-0038
Description:
Estimated Value: 0
Issue Date: 6/13/2017
Expiration Date: 12/10/2017
PROPERTY ADDRESS:
Address: 63 ROBERT ST
RE Number: 172229 0020
PROPERTY OWNER:
Name: TURNER CLARA MAE
Address: 63 ROBERT ST
ATLANTIC BEACH, FL 32233-1926
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA AIR SERVICE & ENG.LLC
Address: 150 CA JOSE FERNANDEZ
PONTE VEDRA, FL 32081
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 3223
(( Phe(�90�4,),(2_47-58(266 Fax(904)247-5845 A O DS, I �_ 0 Q2e)
JOB ADDRESS: f0� sa'r+ 64 PERMI.I1T\f) c,
PROJECT VAL UE1$ qdw0' 00 ARI# kx '�r� REQUIRED
_Air Handling Equipment Only a Air Handling Unit& Col denser _Condenser Only
NEW AIR CONDITIO ING& HEATING SYSTEM INSTALL kTION
Air Conditioning: Unil Quantity r Tons Per Unit L- o
Heat: Uni. Quantity T BTUs Per Unit Seer Rating (S-`t—
Duct Systems: Tote I CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTE INSTALLATION
Air Conditioning: Unit- Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Tots I CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Require 13 sets of plans)
Fire Standpipe Quantity (Require 3 sets of plans)
Underground Fire Main Value (Require 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression System Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Q Ly 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 Syst sms
Tanks(gallons)
Wells
OTHER:
Permit becomes void if wok does not ed!renames within a six month period or work is suspended or abarrdo ad for six rescue.l hereby certify that t have reed
this application and know the same to be true and onmet. All provisions of laws and ordinances governing t fis work will be complied with whdaer specified or
not 'I'hcpmnitdoaawos ore w%th7oriry violate the pmvisbnaofmiyother some or local law regulation motion or the performmCce ofconsnuction.
Property Owners Name V� S �}G(,�' Phone Number
Mechanical Company 'Flo � A-�-- 1ZCrV%'f,(, Office Phone 823-9696 pax 823-9995
Co.Address: 150 HILDEN RD#308 City PONTE VEDRA State FL Zip 32081
License Holder(Print): JO E FERNANDEZ State Certific ion/Registration# CAC1813923
Notarhed Signature of Licen Holder
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Expires NovemWI1u 201D S atureofNotar \Public
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City
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DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $91.00
ACRS17-0038 Address: 63 ROBERT ST APN: 172229 0020 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0004322-1000 0 $55.00
AC AND REFRIGERATION 455-0004322-1000 1 $8.00
FURNACES AND HEATING 455-0004322-1000 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 459-0004209-0600 0 $2.00
STATE DCA SURCHARGE 45500042080]00 0 $2.00
TOTAL • • 1
Date Paid:Tuesday,June 13, 2017
Paid By: FLORIDA AIR SERVICE & ENG.LLC
Cashier: Ci
Pay Method:CREDIT CARD 133506
Printed:Tuesday,June 13,20173:30 PM 1oft