337 Plaza mech permit 5 1 Ij
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: ACRS17-0065
Description: 1 A/C, I AHU,4 TON
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 337 PLAZA
RE Number: 1700010000
PROPERTY OWNER:
Name: PAUL NELS MALZAHN JR
Address: 337 PLAZA
JACKSONVILLE, FL 32233-5441
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COOL R US
Address: 6900 PHILIPS HWY SUITE 46 LEK GJOKA, QUALIFIER
JACKSONVILLE, FL 32216
Phone:
PERMIT INFORMATION:
Please see aftached 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.
lviEcti"wAL rERMIT AP ICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, I L 32233
Ph(904)247-5826 Fax(904) 24,-5945 7- 0 0 6 S
FOB ADDRESS. 3-22 �3 PERMIT
PROJECTVALUEs --)/& O<Z) — AJU# -7L_REQUJM W
___Air Handling Equipment �nly _ZAir Handling Unit &Condenser —Candeaseronly
qEW AIR CONDITIONING & HEATING SYSTEM INS 17ALLATION
Air Conditioning: Unit Quantity TonsPerUnit --
Heat: Unit Quantity BTU's Per Unit Seer Rafing.___
Duct System: Total CFM REQ(ARED
IEPLACEMENT AIR CONDITIONING & HEATING STEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Pat Unit ;Aoo Seer Roung,&,%,,,.-
Duct Systems: Total CFM
FIRE PREVENTION
Fire Sprinkler System Quantity uires 3 sets of pl*
Fire Standpipe Quantity In 3 ads of pin:
Underground Fire Main Value vilres 3 sets of plans)
Fire Hose Cabinets Quantity :lres 3 sets of plans)
Commercial Hoods Quantity [rem 3 sets of plans)
Fire Suppression Systems
Quantity Ulm 3 sets of plans)
FIRE PLACES MILSCEL OUS-
Prefabricated Fireplace Qty— Automobile ifts
Gas Piping Outlets Boilers BTU's
Elevamrs;EiFaj�iurs
k.LL OTHER GAS PIPING Heat Exchac get
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser ffTU
#Water Barriers Solar Collecion System
Tanks(gallorks)
Wells
3THER:
'ertnit b=encs wid if%vork dam not oreneseme ithin asbL nroa�period or we&Is so moolmAherebyceriftirflustliseseond
iis applicafion and kmow the saov w be irue ved Correct All pmvisiom of toots and or will be conpHod with Aether spwfW or
jes�
or. The pennit does not give audionty 1M=of orI012" or use parfortasnor of oonsrru�
'ToPerty Chvnm Name Q,�' z PlioneNumber2y 1-
&L
dechanical Company eco&a( Z��- I Of lice Phonq-ZW2921 Fax
7—
.o.Addrass:-4b.2a &I"ar I�V2 <6 .3 Cit3 J"�y,/4 State,& ii, ,3;U1(,
,leense Holder(Print): eiloke, Yertification/Registration# CAe.if a(P/�
7— '
I PAVAICA A 87TA�AK
- a Before me this
WrOMMOMONOOMim=
'n ism
6=
I so,
isser" 0
1 Ras=17.sins Signature of Notary Publi
7io-.7
2 a2ed 6012182ilof; sn N -ioo:i WH91 :2 0002 BT qaA
Cash Register Receipt Receipt Number
[a City of Atlantic Beach R1771
DESCRIPTION ACCOUNT CITY 1��
PermitTRAK $91.00
ACRS17-0065 Address: 337 PLAZA APN: 1700010000 $91.00
MECHANICAL $87.00
MECHANICAL EASE FEE 455-0000-322-1000 $55.00
AC AND REFRIGEMTION 455-0000-322-1000 01 $8.00
FURNACES AND HEATING 4SS-000&322-loaa I S24.00
STATE SURCHMGES $4.00
STATE DBPR SURCHARGE 455-0000-20A 600 0 $2.00
STATE DCA SURCHARGE 455-00DO-2
TOTAL FEES PAID BY RECEIPT: R1771 $91.00
Date Paid:Wednesday,June 14,2017
Paid By: COOL R US
Cashier: BA
Pay Method: CREDIT CARD 2
Printed:Wednesday,June 14,2017 11:20 AM J.of i
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,fl.32233
06/149017 11:1946
CREDIT CARD
VISA SALE
Card# V)DXV=3438
SEQ#: 2
Bam#: 385
INVOICE 2
Approval Cok 111946
BrIq VdW: Mwwl
MD*: OnIm
Card Code: M
SALE AMOUNT $91.X
CUSTOMER COPY