2344 Fiddlers Lane - HVAC Permit yet'=L`Jr
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: ACIRS 17-0191
Description: HVAC - 1 A/C, 1 AHU, 3.5 TON
Estimated Value: 0
Issue Date: 12/7/2017
Expiration Date: 6/5/2018
PROPERTY ADDRESS:
Address: 2344 FIDDLERS LN
RE Number: 169463 0140
PROPERTY OWNER:
Name: GRANDY EMMETT W
Address: 2344 FIDDLERS LN
ATLANTIC BEACH, FL 32233-4681
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 rAC P � 7 — d (9
Jos ADDRESS: ,,Z„ Itl i�d Ius C1101 J?233 PERMrr#
PROJECT VALUE $ 1-1 00 ARI# q REQUIRED
Air Handling Equipment Only Air Handing Unit & Condenser Condenser Only
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 SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3.51 -1
Heat: Unit Quantity BTU's Per Unit o 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 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 of any other state or local law regulation construction or the performanceofconstruction. /'
Property Owners Name rciO3 'EM me Phone Number(900 237"3781
Mechanical Company �0�A�0 '�' Ttea4 And At p, Office Phonel3l'8248 Fax 131_92Y5
Co. Address:
2-005 s�f►n ycx(k �J �i City 14�, State -L Zip�22TT
9
License Holder(Print): ��� �SY RY State Certification/Registration# CSUC 125003
Notarized Signature of License Holder --
ALMIR HADZIC B fore me this v Ll day of 0 20(4--
' r uy COMMISSION#GGOO881z nature of Notary Pu —�
Ape
EXPIRES Fetxuery 01,202
Scanned by CamScanner
Cash Register Receipt Receipt Number
is
of
Beach ' • •
DESCRIPTION
PermitTRAK $107.00
ACRS17-0191 Address: 2344 FIDDLERS LN APN: 169463 0140 $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 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL ' $107.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
12;01,2017 13;55:04
CREDIT CARD
VISA SALE
Card# XXXXXXXXXXXX9544
SEQ#: 2
Batch;: 498
INVOICE
2
Approval Code. 05145G
EntMethod. Manual
Mode: Online
Tax Amount $0.00
Card Code: M
SALE AMOUNT X107,00
CUSTOMER COPY
Date Paid:Thursday, December 07, 2017
Paid By: NORTHPORT CONSTRUCTION GROUP d
Cashier: BA
Pay Method: CREDIT CARD 2
010
Printed:Thursday, December 07, 2017 1:57 PM 1 of 1
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