1085 Beach Ave HVAC permit lv�*.
CITY OF ATLANTIC BEACH
1 800 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: ACRS17-0209
Description: replace 2 2-ton 22.2K-BTU AHUs
Estimated Value: 3300
Issue Date: 11/16/2017
Expiration Date: 5/15/2018
PROPERTY ADDRESS:
Address: 1085 BEACH AVE
RE Number: 170270 0000
PROPERTY OWNER:
Name: LEE CARLOTTA LATISE ET AL
Address: C/O CARLOTTA LATISE LEE POSR1085 BEACH AVE
JACKSONVILLE, FL 32233-5753
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NORTHPORT CONSTRUCTION GROUP dba NORTHPO
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
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 14$5 ,! each Arte - Mlan k Bch ,4L. 32233 PERMrr# ACUI-4-04-D 7
PROJECT VALUE $ 31300 •Q0 ARI# 96 3:C0 1 � ���I 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 T Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity. Tons Per Unit P /
Heat: Unit Quantity BTU's Per Unit 2 I o J Seer Rating 114 F"A b.1'
Duct Systems: Total CFM $r 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
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 1 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 ofanyother state or local law regulation construction or the performance of construction.
Property Owners Name p (2caio4c, l.a * C4. A( Phone Number G 1q' 2311
Mechanical Company No P, P,+ 41eq. hvd A.IR Office Phone'131"8245 Fax 43) -V24 5
Co. Address: 2905 SPR�Nq f at k City �> X State TL. Zip 3 2201-
License Holder(Print): TI NUR SPA-RyAA) State Certification/Registration#014C 1L50d3 cj
Notarized Signature of License Holder
JL
ALMIR HADZIC Be ore me this 16 day of 20 /�-
MY COMMISSION 0130068872
F-XPlRE9F*twuvy01.20:8ij nature of Notary Pu
Scanned by CamScanner
Cash Register Receipt -
City of
j y
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $115.00
ACR517-0209 Address: 1085 BEACH AVE APN: 170270 0000 $115.00
MECHANICAL $111.00
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 44400 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL11
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
111612017 13:58:56
CREDIT CARD
VISA SALE
card XXXXXXXXXM2230
SEQ 4:: 3
Batch;: 485
INVOICE 4
Approval Code: 016384
Entry Method, Manual
Mode: Online
Tax Amount', $0.00
Cad Code: M
SALE AMOUNT115.(�
CUSTOMER COPY
Date Paid:Thursday, November 16, 2017
Paid By: LEE CARLOTTA LATISE ET AL
Cashier: BA
Pay Method: CREDIT CARD 4
Printed:Thursday,November 16,2017 2:08 PM 1 of 1
Txwa,