142 Ocean Gate Dr HVAC permit 51",
Ailf
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
011 9' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0220
Description: HVAC - 1 A/C, 1 AHU, 2 TON
Estimated Value: 3900
Issue Date: 12/13/2017
Expiration Date: 6/11/2018
PROPERTY ADDRESS:
Address: 142 OCEAN GATE DR
RE Number: 1734140310
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY INC
Address: 797 MAYPORT RD
ATLANTIC BEACH, FIL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA AIR SERVICE & ENG.LLC
Address: 150 QA JOSE FERNANDEZ
PONTE VEDRA, FL 32081
Phone:
PERMIT INFORMATION:
Please see aftached 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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OFATLANTIC BEACH
800 Seminole Rd Atlantic Beach, rL 32233
Ph (904) 247-5826 Fax (904)247-5845 7 - C Z- 7-C)
JOB ADDRESS: &i,v\, C rt* PERMIT#
PROJECT VALUE$ ARI CW5 H�H�S _REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & BEATING SYSTEM INSTALLATION
Air Condifloning: Unit Quantity Tons Per Unit 1�
Heat: Unit Quantity BTU's Per Unit—JI GLG- Seer Ratin
Duct Systems: Total CFM b6c
REQ UIR D
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UnitQuantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler Systern 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/Escalator—s
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 oommence within a six month period or mik is suspended or abandoned forsix months.I hereby certify that I have read
this application and know the same to be true and con-ect. All provisions of laws and ordinances governing this work will be CDMplied with whether specified or
not. The pennit does itot give avthoHt,y to violate the provisions of any other state or locol law reguie&n construction or the parfon-nance of construction,
Property Owners Name l--KcLA�, Phone Number
Mechanical Company C-..Ve 823-9696 823-9995
Office Phone Fax
Co.Address: 150 HILDEN RD#308 city PONTE VEDRA State FL Zip 32081
License Holder(Print): JOSE FERNANDEZ State Ccrti ficati on/Registrat ion # CAC1813923
Notarized Signature of License Holder
lq� LILLIAN H.PAY7 tore me this �'A day of 20
Ap"I"Rh lt�.
Commissbn#FF 899281 3
Expirm November 11.2019 nature of Notar Publ ice
t, a5ed 9666H?t06 3V-4yeJ dH WVl,g:0l, LlOZ Lo AON
1[Q?4'. Receipt Number
i � Cash Register Receipt
"A ON
City of Atlantic Beach R3679
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $451.00
17-MECH-3678 Address: 275 SHERRY DR APN: 169802 0000 $55.00
HVAC FINAL 12/01/2017 RBE $55.00
HVAC FINAL 1210112017 RBE 45500003221002 0 $55.00
ACRS17-0217 Address: 154 OCEAN GATE DR APN: 173414 0295 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
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
ACRS17-0218 Address: 150 OCEAN GATE DR APN: 173414 0300 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
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 1 $2.00
ACRS17-0219 Address: 146 OCEAN GATE DR APN: 173414 0305 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
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
ACRS17-0220 Address: 142 OCEAN GATE DR APN: 173414 0310 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1:0:0�0 0 1 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 1 $16.00
Date Paid: Wednesday, December 13, 2017
Paid By: FLORIDA AIR SERVICE & ENG.LLC
Cashier: LE
Pay Method: CREDIT CARD 08928Z
Printed:Wednesday,December 13,2017 10:19 AM 1 of 2
TPAW
Cash Register Receipt Receipt Number
City of Atlantic Beach R3679
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $451.00
ACRS17-0220 Address: 142 OCEAN GATE DR APN: 173414 0310 $99.00
MECHANICAL $95.00
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 1 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3679 $451.00
Date Paid: Wednesday, December 13, 2017
Paid By: FLORIDA AIR SERVICE & ENG.LLC
Cashier: LE
Pay Method: CREDIT CARD 08928Z
ot
I
Printed:Wednesday, December 13,2017 10:19 AM 2 of2 I
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