1775 ATLANTIC BEACH DR - HVAC O �-rk
N ' ` A CITY OF ATLANTIC BEACH
' , i800 SEMINOLE ROAD
'J ATLANTIC BEACH,FL 32233
,3 � INSPECTION PHONE LINE 247-5814
MECHANICAL RESI 9 ENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT "AY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0188
Description: install 4-ton 48K-BT AHU & 1600 CFM duct system
Estimated Value: 7250 I
Issue Date: 10/3/2017
Expiration Date: 4/1/2018
PROPERTY ADDRESS:
Address: 1775 ATLANTIC BE''CH DR
RE Number: 169505 1480
PROPERTY OWNER:
Name: ATLANTIC BEACH `ARTNERS LLC
Address: 414 OLD HARTS R1'STE 502
FLEMING ISLAND, ',L 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
I
Name: A/C MASTERS HV"C INC
Address: 11243 ST JOHNS 'KWY APT 3 QA CHARLES STEVEN
CRABTREE
JACKSONVILLE, F 32246
Phone:
PERMIT INFORMATION:
Please see attached conditions of approv:I.
WARNING TO OWNER: YOUR FAIL ' TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT I ' YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPE ' TY. A NOTICE OF
COMMENCEMENT MUST BE RECO' 1 ED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECT ON. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YO " LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTI cE OF COMMENCEMENT.
* A notice of Commencement is only required or work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commen ement is only required when HVAC work
exceeds and estimated value of$7,500. 1
MESCAL PE ' It APPLICATION
. CITY OF AT • + IC BEACH
800 Seminole Rd Atlan m c Beach,FL 32233
• Ph(904)247-5826 F: (904)247-5845 AC,(LS‘1-0 1 g r
JOB ADDRESS: 7 7 5 1 414 n 41 4. ri✓c PERMIT# R. 77--'00y)
PROJECT VALUE$ 7 c2 SO,
NEW AIR CONDITIONING&HEATING SY i r M IN TALLATION
Air Conditioning: Unit Quantity / Tons Per nit
Heat Unit Quantity / BTU's P UnitSeer Rating /5, 0
Duct Systems: Total CFM /600." ' REQUIRED
•
REPLACEMENT AIR CONDITIONING&HE• TING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's P- Unit Seer Rating
. Duct Systems: Total CFM REQUIRED •
I
FIRE PREVENTION I
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Underground Fire Main Ve alue
' (Requires 3 sets of plans
lans
Fire Hosabinets ` Quantity (RRequires 3 sets of equires 3 sets of plans
Commercial Hoods Quantity (Requires 3 sets of plans
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES I SCELLANEOUS: `N
Prefabricated Fireplace Qty •l k , it 'bile Lifts -
Gas Piping Outlets : .iters BTU's
• E vators/Escsiators
ALL OTHER GAS PIPING Exchanger
Quantity of Outlets P ps
#Vented Wall Furnaces efrlgerator Condenser BTU's
#Water Hearers • S lar Collection Systems
is(moons)
,ells
OTHER:
•
Permit becomes void if work does not commence within ask month period or wcrk is suspended or abandoned far 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 thiswork will be complied with whether specified
or not. The permit does not give authority to violate the • ...s of any otherstate or local tawregatation construction or the performance ofconsdruction..
Property Owners Name Rt Jens;01e. '1111e S Phone Number
Mechanical Company A 1 C 111.4_,11c rs /f ii ,4.c , Office Phone 71)-R9.rFax 7,7..)-290
Co.Address: Li ZiH es c l/ a: -c ' City 5 6nJ i II- State i€ Zip Id-Ur
License Holder(Print): CL v ies S, 6710 S . , e. ' - r -�r-, on#CA-C 1-9)3i5#
.oi. .
Notarized S of License Holder r
�+4'j DEBRA ANN HOISINGTON Sworn and subscribed before me a1 7 day .,. , 20/
• :' P .. ; I
`?MY CdMMtSSION#0001828 .Signature of Notary Public ~
ow
'••',-i7- EXPIRES October 18,2020 •
'.,,!!„ 0
•
1
�, g Cash Register Receipt Receipt Number
4104
City of Atlantic Beach R3045
`oi3 ,
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK LL $135.00
ACRS17-0188 Address: 1775 ATLANTIC BEACH DR APN: 169505 1480 $135.00
MECHANICAL $131.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1600 $20.00
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: R3045 $135.00
CITY OF AT ,NTIC BEACH
800 SEM NOLE RD
ATLANTIC B:AC,FL 32233
10/03/2017 13:17:58
CREDI CARD
MC ALE
Card# )000000000E9016
SEQ#: 4
Batch#: 454
INVOICE 4
Approval Code: 00745C
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $135.00
CUSTOMS'COPY
Date Paid:Tuesday, October 03, 2017
Paid By:A/C MASTERS HVAC INC
Cashier: BA
Pay Method: CREDIT CARD 4
I
Printed:Tuesday,October 03,2017 1:18 PM 1 of 1 jn
TWAT