275 SHERRY DR - HVAC Jam,1* Jv,
,.. <. r ,= CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
41-JEW,- INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 17-MECH-3678
Description: HVAC-2 A/C, 2 AHU, 4.5 TONS TOTAL
Estimated Value: 8850
Issue Date: 11/29/2017
Expiration Date: 5/28/2018
PROPERTY ADDRESS:
Address: 275 SHERRY DR
RE Number: 169802 0000
PROPERTY OWNER:
Name: BCEL 5 LLC
Address: 7563 Philips HWY STE 109
JACKSONVILLE, FL 32256
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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.
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Cash Register Receipt Receipt Number
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City of Atlantic Beach R3559
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $123.00
17-MECH-3678 Address: 275 SHERRY DR APN: 169802 0000 $123.00
AC AND REFRIGERATION - $36.00-
ACAND REFRIGERATION 455-0000-322-1000 1 $36.00
FURNACES AND HEATING V $28.00
FURNACES AND HEATING 455-0000-322-1000 1 $28.00
. " - OS BUILDING FEE . $55.00
OS BUILDING FEE 455-0000-322-1000 1 $55.00
STATE DBPR SURCHARGE : - : . $2.00
STATE DBPR SURCHARGE 455-0000-208-0600 1 $2.00
-STATE DCA SURCHARGE • • $2.00
STATE DCA SURCHARGE 455-0000-208-0700 1 $2.00
TOTAL FEES PAID BY RECEIPT: R3559 $123.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
11/29/2017 16:36:13
CREDIT CARD
MC SALE
Card# X60000000(X9275
SEQ#: 17
Batch#: 492
INVOICE 17
Approval Code: 04999Z
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $123,00
CUSTOMER COPY
Date Paid: Wednesday, November 29,
Paid By: FLORIDA AIR SERVICE& ENG.I
Cashier: BA
Pay Method: CREDIT CARD 17
Printed:Wednesday,November 29,2017 4:37 PM 1 of 1 0
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 j ,M y
Ph(904)247-5826 Fax(904)247-5845 1 ECR -3(078
JOB ADDRESS: PERMIT
SHERRY DR 16-SFR-2664
PERMIT#
PROJECT VALUE $ 8850.00 ARI# 7835429 / 8282582 REQUIRED .
Air Handling Equipment Only X Air Handling Unit& Condenser Condenser Only
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 2 Tons Per Unit 2.5/2.0
Heat: Unit Quantity 2 BTU's Per Unit Seer Rating 14/ 14
Duct Systems: Total CFM REQUIRED
REPLACEMENT 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
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.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 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 EPIC CUSTOM HOMES / (3 CGL. 5 LLC_ phone Number 904-59I-7944
Mechanical Company FLORIDA AIR SERVICE ( Office Phone 823-9696 Fax 823-9995
Co. Address: 150 HILDEN RD#308 City PONTE VEDRA State FL Zip 32081
License Holder(Print): JOSE FERNANDEZ State Certification/Registration # CAC 1813923
Notarized Signature ofLicense Holder I.
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