1618 Atlantic Beach Dr HVAC permit 'bT
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: ACRS17-0226
Description: install 4-ton 48K-BTU AHU & 1600 CFM duct system
Estimated Value: 7400
Issue Date: 11/13/2017
Expiration Date: 5/12/2018
PROPERTY ADDRESS:
Address: 1618 ATLANTIC BEACH DR
RE Number: 1695051125
PROPERTYOWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 1227 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
JACKSONVILLE, FIL 32246
Phone:
PERMrT 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.
M- --ECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233
Ph(904)247-5826 Fax(904)247-5845 A c rl -ca-,�c,
i PERMrr# 07
JoBADDRF,ss:
PROJECTVALUE $
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit q
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM OD REQUIRED
REPLACFMTNT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTUs 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 (Reqtftes 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
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
9 Vented Wall Furnaces Refrigerator Condenser BTUs
A Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
NEEMNM�
that I have read
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify
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 Ile permit does not give auth it to violate die provisions of any other state or local law regulation construction or the performance of construction-
�T Y
Property Owners Name K Phone Number
Mechanical Company A,) c, Office Phone -),D-V�)—Fax -7
Co.Address: Llq,5 —Freje, ISU k City State fi zip
License Holder(Print): S.- ck-l" -,cation/Registration
Notarized Signature of License r
WIL;� DEBRAANN HOISINGTON Sworn and subscribed before me-this d�iptf j3j6--Ae,-_20—D
MV rc$WISSION 0 0G031026
-y
signature of NotaT Public
py�311�f :C f.1 ,)�r 15,2020
Cash Register Receipt Receipt Number
City of Atlantic Beach R3428
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $135.00
ACRS17-0226 Address: 1618 ATLANTIC BEACH DR APN: 169505 1125 $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 1 $2.00
TOTAL FEES PAID BY RECEIPT: R3428 $135.00
Date Paid: Monday, November 13, 2017
Paid By: A/C MASTERS HVAC INC
Cashier: LE
Pay Method: CREDIT CARD 675
00.
Printed:Monday,November 13,2017 12:58 PM 1 of 1
TRACT