328 10th St HVAC permit s f 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: ACRS17-0194
Description: replace 3.5-ton 40K-BTU AHU
Estimated Value: 0
Issue Date: 10/11/2017
Expiration Date: 4/9/2018
PROPERTY ADDRESS:
Address: 328 10TH ST
RE Number: 170035 0000
PROPERTY OWNER:
Name: DYER KELLY L
Address: 328 10TH ST
ATLANTIC BEACH, FL 32233-5530
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NORTHPORT CONSTRUCTION GROUP dba NORTHPORT
HEAT &AIR
Address: 2905 SPRING PARK RD TIMUR ISPARYAN
JACKSONVILLE, FL 32207
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
` cPC 2
Lh(904)247-5826 Fax(904)247-5845 A
5+
JOB ADDRESS: alg I0 � PERMTr#
Zir
OJECT VALUE$ i °O ARI#a 1 994'1 REQUIRED
Handl<ng Equipment Only Air Handling Unit& Condenser Condenser
er On!
y
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„ ..TEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit SS �G
Heat: Unit Quantity BTU's Per Unit Seer Rating
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 QtyAutomobile 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.1 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.
Property Owners Name ' eR P1-$
hone Number(-7o4)60 9 l�
Mechanical Company O �0 t k eQ �OfficePh0
ne 2y$Fax(� Q 631'$245
Co. Address: 2905 3D KIga?0.1 City �x State Zip
License Holder(Print): State Certification/Registration#CiIC 1150C>301
Notarized Signature of License Holder
ALM HADZIC B ore me this Q day of 0C 20-L22--
MY COMMMION 0 0006Wn
ornwMa Fabn■ry 01,2028i nature of Notary
Rubke—
Scanned by CamScanner
Cash • Receipt • •
•
_ City of Atlantic Beach R3101
3.
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $107.00
ACRS17-0194 Address: 328 10TH ST APN: 170035 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 40000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL1 1 11
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
1009 2011 13:22:49
CREDIT CARD
VISA SALE
Card XXXXXXXXXW2230
SEQ#; 4
Batch a: 458
INVOICE 5
Approval Code: 009463
Entry Method: Manual
Mode: Online
Tax Amount; $0,00
Card Code: M
SALE AMOUNT $1012
CUSTOMER COPY
Date Paid: Monday, October 09, 2017
Paid By: NORTHPORT CONSTRUCTION GROUP d
Cashier: BA
Pay Method: CREDIT CARD 5
Printed: Monday,October 09,2017 1:23 PM 1 of 1ji