459 STURDIVANT AVE - HVAC ; 1., CITY OF ATLANTIC BEACH
�-- 800 SEMINOLE ROAD
� �r4 ATLANTIC BEACH,FL 32233
c),, INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0110
Description: HVAC- 1 NC, 1 AHU, 2 TON
Estimated Value: 0
Issue Date: 7/21/2017
Expiration Date: 1/17/2018
PROPERTY ADDRESS:
Address: 459 STURDIVANT AVE
RE Number: 170651 0040
PROPERTY OWNER:
Name: ROCHA DANIEL
Address: 459 STURDIVANT AVE
ATLANTIC BEACH, FL 32233
4 GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Elite AC, LLC
Address: 10150 Belle Rive BLVD #1407
JACKSONVILLE, FL 32256
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD GWICE FOR OF
COMMENCEMENT MAY RESULT IN YOU PA
IMPROVEMENTS TO YOUR PROCORDE. A NOTICED AND POS T DD ON THE JOB
COMMENCEMENT MUST BE R
SITE BEFORE THE FIRST INSPECTION. IF YOU INTENUR LENDER RAN AD TO OBTAIN
FINANCING, CONSULT WITH Q ICE OF COMMENCEMENT.
BEFORE RECORDING YOU
* A notice of Commencement is oof Commencement is only required wheny required for work exceeing an ted value of
HVAC work
$2,500. For HVAC work, a Notice
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 p
JOB ADDRESS: 1"}5 I `J t va t lJ i q O �" 5* ' PERMIT# ' `L R S 1 7 -O I I 0
PROJECT VALUE$ q D- aO— ARI# 1 G19 5055 REQUIRED
_Air Handling Equipment Only ` Air Handling Unit&Condenser _Condenser Only
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATIO
Air Conditioning:Unit Quantity Tons Per Unit
Heat:Unit Quantity: BTU's Per Unit_ Seer Rating
�ED
Duct Systems:Total CFM
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioning:Unit Quantity Tons Per Unit 9—
Heat:Unit
Heat:Unit Quantity: ` BTU's Per Unit:22,200 Seer Rating
I Li
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 BTU's
Gas Piping Outlets Boilers
ElevatorslEscalators
ALL OTHER GAS PIPING Heat Exchanger
' Quantity of Outlets Pumps
#Vented Wall Furnaces • Refrigerator Condenser BTU's__
# Water HeatersSolar Collection Systems
Tanks gallons ' Wells
OTHER: a CA G I .n -r 0 NA ka.• `iR��d 1161111011Te:7�!EsZl7_i
�� vi ► s '-/ rr 2,V i)4
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. ,,�� pp f�
' ()i\ O C w,ho, Phone Number q U`i- OO– -i 02L1
• Property Owners Name q
Mechanical Co any E 'u it Office hone Qaq— 23-q II Fax 585 1
Co. Address: 5 SO moo n, • 'r -.4t" City '` tate ip 3 .2
License Holder(Print): . 00e `t C(1tfll State Certification/Registration# CAACk.b•i3(69
Notarized Signaturetuyof License Holder
Before me this t?' day of .� 200 it ._ __
O 1 S..v L ;�••k'.''• MARISOL RAMIREZ
Signature of Notary Public p' .- `:=
MY COMMISSION a FF955844
' ,,, EXPIRES January 31,2020
IdCl158843'h3 I brW1allottsvStmae cam
i*J SS EU re A ecce .
,
/J Cash Register Receipt Receipt Number
loil...
'f' R2059
City of Atlantic Beach
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $91.00
ACRS17-0110 Address: 459 STURDIVANT AVE APN: 170651 0040 $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 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R2059 $91.00
(....?`' V
C__
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Date Paid:Thursday,July 20, 2017
Paid By: ROCHA DANIEL
Cashier: CT
Pay Method: CREDIT CARD 033111 •
Printed:Thursday,July 20,2017 11:32 AM 1 of 1 lir
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