83 Nicole Ln HVAC permit 21
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: ACRS17-0144
Description: HVAC- 1 AVC, 1 AHU, 2 TON
Estimated Value: 0
Issue Date: 8/25/2017
Expiration Date: 2/21/2018
PROPERTY ADDRESS:
Address: 83 NICOLE LN
RE Number: 169519 0825
PROPERTY OWNER:
Name: WALSH SUSAN
Address: 83 NICOLE LN
ATLANTIC BEACH, FL 322335979
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A/C DESIGNS OF ST AUGUSTINE
Address: 3370 AGRICULTURE CENTER DR QA EDWARD DOUGLAS
TENNANT
ST.AUGUSTINE, FL 32092
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$7,500.
,4/ O®
MECHANICAL PERMIT APPLICATION �(
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
IOB ADDRESS: 83 NICOLE LN PERMIT#
PROJECT VALUE$ 5000.00 ARI# 9154724 REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _Condenser Only
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 2
Heat: Unit Quantity 1 BTU's Per Unit 2a000 Seer Ratine 15.50
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
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
4LL 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:
'emit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify tfiot I have read
his 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
sot. The permit does not give authority as violate the provisions of any other state or local law regulation construction or the performance of construction.
-P-roperty-0wners-Name--$U$AKWALSH
Ylecbanical Com an AC DENC -- _ -
P Y SIGNS IOffice Phone sl -azo-es9a Fax 9o4-829-eaav
:A. Address: 3370 AGRICULTURAL CENTER DR City SjA1jr11AT1NF State F, Zip am,00
License Holder(Print): Ed Tennant i fcatio egistration# CAC1813372
Votarized Signature of License holder
BELINDA B BYERS Before me this / day of 20 1
3Q booty public•Sate of Mum,
i Sommaebn•FF 245537 Signature of Notary Public
`p fp Comm.Expires Aug S.2D19 �ItK44.
'?,4„Lk.• Butled DliouplBtllanalNdary Assn
sh Register Receipt Receipt Number
At •
City ofAtlanticBeach
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $55.00
ACRS17-0144 Address: 83 NICOLE LN APN: 169519 0825 $55.00
HVAC FINAL 08/30/2017 RBE $55.00
HVAC FINAL 08/30/2017 RBE 45500003221002 1 0 $55.00
TOTAL1 $55.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
10/181120t7 13:56;55
CREDIT CARD
MC SALE
Card a XXXXXXXXXXXX2227
SEQ#; 3
Batch u; 465
INVOICE 3
Approval Code: 089011
Entry Method: Manual
Mode; Onlbe
Tax Amount; $0.00
Card Code; M
SALE AMOUNT $SSm
CUSTOMER COPY
Date Paid: Wednesday, October 18, 2017
Paid By: A/C DESIGNS OF ST AUGUSTINE
Cashier: BA
Pay Method: CREDIT CARD 3
000
Printed:Wednesday,October 18,2017 1:57 PM 1 of 1 j
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