363 ATLANTIC BLVD - HVAC (@ POE'S) .i yLJJ.I
;#;- ; CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
SP INSPECTION PHONE LINE 247-5814
MECHANICAL REST ENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0214
Description: HVAC- 1 A/C, 1 AHU, 7.5 TON
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 363 ATLANTIC BLVD
RE Number: 169730 0000
PROPERTY OWNER:
Name: MANDARIN EMPO IUM INC
Address: 2240 MAYPORT RD#7
ATLANTIC BEACH, rL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ALL WEATHER CONTRACTORS, INC.
Address: 5151 SUNBEAM RD
JACKSONVILLE, FL 32257
Phone:
PERMIT INFORMATION:
Please see attached conditions of approv I.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT Il 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 YOUII. LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE 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$7,500.
C A\ v\ore,NAMECHANICAL PER IT APPLICATION
_b'(- ym a CITY OF ATLAS, TIC BEACH
OIpL\' S1 800 Seminole Rd Atlanti - Beach, FL 32233
o E S Ph (904) 247-5826 Fax (904) 247-5845 P Q R S 7- 021 4
JOB ADDRESS: ?I03c\Qf;1• 1C..`g1�lt�. A0, n �G Ir�_PAC�cI ,FL. 32"233 PERMIT#
PROJECT VALUE$ \\ 15/3‘5.Do ,RI# 10-\\QN"1 REQUIRED
Air Handling Equipment Only it Handli g Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity , Tons Per nit _
Heat: Unit Quantity BTU's Pe•Unit Seer Rating_
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEA ING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity \ Tons Per nit 1.S
Heat: Unit Quantity BTU's Pe:Unit qC Q Seer Rating \
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION . �G
Fire Sprinkler System Quantity (Requires 3 sets of plans) d �
Fire Standpipe Quantity I (Requires 3 sets of plans) Cc9 4
Underground Fire Main Value I (Requires 3 sets of plans)
Fire Hose Cabinets Quantity I (Requires 3 sets of plans) \CI
Commercial Hoods Quantity I (Requires 3 sets of plans) V%)
Fire Suppression Systems Quantity I (Requires 3 sets of plans)
FIRE PLACES ISCELLANEOUS:
Prefabricated Fireplace Qty A tomobile Lifts
Gas Piping Outlets - • Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Plumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters S lar Collection Systems
Tanks (gallons)
Wells
OTHER:
I
Permit becomes void if work does not commence within a six month period or wor• is suspended or abandoned for six months. I hereby certify that I have read
this application and know the same to he true and correct. MI provisions of laws altd 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 Phone Number
Mechanical Company \\ We - e C,pri aC- -ari Office Phone—\71-10ioDFax-1 \-710S\
Co. Address:ll4Q Nü - 4 \ City.�O.G� nV1\\2.State FL Zip 32221
License Holder (Print) OkX 1G 4,.._. ` State Certification/Registration#C, .VZSO(AS
Notr,ri;erlSignature-ofLic�'11cP I-Tnit'e (ii--\_k.7_,
i `"` ROYETTE CROWDERt�
MY COMMISSION#GG13760Pefol•e me this I d y of ND lr'.r t be-r 20 t .1
''%t : EXPIRES September 07,2021
�] n -
gnature of Notary Publi alt.-f2-1,A, C _
-N 7u aL y &pitc,Joe r e\
,�� ' Cash Register Receipt Receipt Number
City of Atlantic Beach R3347
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK -_. $139.03
ACRS17-0214 Address: 363 ATLANTIC BLVD APN: 169730 0000 $139.03
• _ MECHANICAL _ $135.00 "
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 8 $56.00
FURNACES AND HEATING . 455-0000-322-1000 1 $24.00
STATE SURCHARGES : - - - '$4.03
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.03
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3347 $139.03
CITY 0 ATLANTIC BEACH
801 SEMINOLE RD •
ATLAN IC BEAC,FL 32233
11/02/2017 08:42:06
IREDIT CARD
MC SALE
Card# XX)000000000(9511
. SEQ#: 2
Batch#: 476
INVOICE 2
Approval Code: 082799
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Cust Code:
Card Code: M
SALE AMUUN $139.03
C STOMER COPY
Date Paid:Thursday, November 02, 2017
Paid By:ALL WEATHER CONTRACTORS, INC.
Cashier: BA
Pay Method: CREDIT CARD 2
014
Printed:Thursday,November 02,2017 8:43 AM 1 of 1 P P
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