87 W 4TH ST - HVAC :'S%sL`1:
Ji r� l�
r _ f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
~--01; � INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0148
Description: HVAC- 1 A/C, AHU, 2.5 TON
Estimated Value: 0
Issue Date: 8/17/2017
Expiration Date: 2/13/2018
PROPERTY ADDRESS:
Address: 87 W 4TH ST A
RE Number: 170824 0030
PROPERTY OWNER:
Name: PRETT DEVELOPERS LLC
Address: 888 KINGMAN RD
HOMESTEAD, FL 33035
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AIR TO AIR
Address: 11578 DAVIS CREEK CT QA JOSHUA S. HOWARD
JACKSONVILLE, FL 32256
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$7,500.
9047832473 Air to Air Inc 01:50:37 p.m, 08-15-2017 3/3
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 +
Ph (904)247-5826 Fax (904) 247-5845 P RS 17 - 01z1
DB ADDRESS: � -\-- \ ) S* . PERM1T# l &r(JT Lx-2]..1,
PROJECT VALUE$ '---5-2-00i ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I _ Tons Per Unit 2-,.', �,�
Heat: Unit Quantity 1 BTU's Per Unit Seer Rating t 5
Duct Systems: Total CFM % 000 REQUIRED
11
LEPLACEMENT 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
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
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=mit 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
is 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
)t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name I.r\- TT D G\jt i c,,-, P( S Phone Number
`� G -l-2S -L172c\ c4W=2. L-t�l2
Mechanical Company k\'(' ZD`kms-\`C V\C__ Office Phone Fax
'o. Address: -AT Do, k e• "C.c. . City ,sCk�►r-c��\Lu-estate F'\Zip p
tiL r
,icense Holder(Print): I ffl , 1.Z11t$j State Certifica 'on/Registration#
Totarized Signature of License Holde olo
rdifing
TERESA L.MUELLER Befo • me this j�� day of Alice:_________s 2011
i . MY COMMISSION#FF103038
�,n• EXPIRES:March 17,2018 Signature of��.tary Public t vvv���_
rS .-.1PJ 4
Cash Register Receipt Receipt Number
City of Atlantic Beach R2324
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $198.00
ACRS17-0148 Address: 87 W 4TH ST A APN: 170824 0030 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
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
ACRS17-0149 Address: 87 W 4TH ST B APN: 170824 0030 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
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: R2324 $198.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
08.17.2017 15:19:15
CREDIT CARD
VISA SALE
CARD r. XXXXXXXXXXXX0064
INVOICE 0004
SEQ r: 0004
Batch tr: 000626
Approval Code: 04102G
Entry Method: Manual
Mode: Onlix
Tax Amount: $0.00
Card Code: M
Date Paid:Thursday, August 17, 2017 SALE AMOUNT $198,00
Paid By: PRETT DEVELOPERS LLC
Cashier: LE
CUSTOMER COPY
Pay Method: CREDIT CARD 4
•
Printed:Thursday,August 17,2017 3:20 PM 11
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