785 TRITON RD - HVAC ,�3
j� CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
1, 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: ACRS17-0112
Description: HVAC - 1 NC, 1 AHU, 3 TON
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 785 TRITON RD
RE Number: 171470 0000
PROPERTY OWNER:
Name: RODDAN JOHN Z
Address: 785 TRITON RD
ATLANTIC BEACH, FL 32233-3941
1 GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NORTHPORT CONSTRUCTION GROUP
Address: 10130 Hawks Hollow RD
JACKSONVILLE, FL 32257
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.
-7 Es -TR i c) N Irc
o. INVOICE #
tt City of Atlantic Beach INV-810
800 Seminole Road Date Due: 8/19/2017
Atlantic Beach, FL, 32233
NORTHPORT CONSTRUCTION GROUP
10130 Hawks Hollow RD
JACKSONVILLE, FL 32257
Invoice Date:7/20/2017
Record# Record Type Fee Group Fee Description Quantity Amount
ACRS17-0112 MECHANICAL RESIDENTIAL MECHANICAL AC AND REFRIGERATION 1 $8.00
HVAC FURNACES AND HEATING 1 $24.00
MECHANICAL BASE FEE 0 $55.00
STATE SURCHARGES STATE DBPR SURCHARGE 0 $2.00
STATE DCA SURCHARGE 0 $2.00
$91.00
Invoice Total:$91.00
Lk ce(A3
E .
Please send your payment to this address:
Printed:Thursday,July 20,2017 8:38 AM 1 of 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 5 T1:6.6 rJ r-M PERMIT# AC IRS 17- 0 I ( Z
PROJECT VALUE$ 5, 100.00 ARI# 966 )oa ( REQUIRED
_Air Handling Equipment Only Air Handling Unit& Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating
Heat: Unit Quantity BTU's Per Unit gREQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity A Tons Per Unit Seer ��
Heat: Unit Quantity BTU's Per Unit 331 vvRatingREQUIRED
Duct Systems: Total CFM
FIRE PREVENTION 3 sets of plans)
Sprinkler System Quantity (Requires p )
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.
It) a an Phone Number S*4` 43.34
Property Owners Name ` '�o�011 PO
�pn ,,_1
Mechanical Company Nu g l'1 O d ea+ 4 41-2 Office Phone 19-40a Fax 431-2 Z 4 I
State R. Zip w.07-
Co. Address: 2905. s '�`n) '"',`4 k I City 'JOY.,
License Holder(Print): �
‘�vA tZ \Sp 61;t1 AN.) State Certification/Registration# eliC(2500-S`V
Notarized Signature of License Holder �C-/
, COMMISSION
o HADZic efore me this 7' day of kk°1 _201±.-
=; ' .i MY COMMlU a+•Qot�ee ignature of Notary Public
"•,'. WPM Nixon 01,2021 eb"---
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