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1998 BRISTA DE MAR CIR - HVAC i- , 'Aivr'ir, S\ CITY OF ATLANTIC BEACH ,,_ y, > 800 SEMINOLE ROAD 5 v �rATLANTIC BEACH, FL 32233 'at L r;; >% INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL HVAC - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACRS17-0240 Description: replace 4-ton 48K-BTU AHU Estimated Value: 4000 Issue Date: 11/27/2017 Expiration Date: 5/26/2018 PROPERTY ADDRESS: Address: 1998 BRISTA DE MAR CIR RE Number: 169506 1684 PROPERTY OWNER: Name: STRAUS EDWARD F Address: 1998 BRISTA DE MAR CIR ATLANTIC BEACH, FL 32233-4524 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: DONOVAN HEATING &AIR Address: 532 S 3rd ST JACKSONVILLE BEACH, FL 32250 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 S`�_ U — JOB ADDRESS: i 99� ���� 104� E PERMIT# . — PROJECT VALUE $L1 o+' ARI# 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 Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Tons Per Unit Heat: Unit Quantity I BTU's Per Unit ,� Seer Rating i? T 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 Bose 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 ("Ms 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 hccomes vdid 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:;pl)iii.:<itian and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified< not. The permit does not give authority to violate the provisionsov-,onor any other state or local law regulation construction or the performance of construction. Property Owners Nance S_+_!QJ\US_ _ Phone Number (1` 00 Mechanical Company. Ibti Office Phone)+T) &ax___. Co. Address:7) 5 CAL_____Nt, , (.ti� , City • State Zip �1 l ��_� State Certification/Registration#G skz) -39%\ License Holder(Print): � ���� Notarized Signature of_License Holder IT j - Y: -,. RICHARD L TOWNS Before me th'. a-7 day of Ni 20J ) .;T.4\camtnlsaion#Ga MO t''..it � 1Troy kit Warm5oO4 -1Dt9 Signature of Notary Public Cash Register Receipt Receipt Number City of Atlantic Beach R3520 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $115.00 ACRS17-0240 Address: 1998 BRISTA DE MAR CIR APN: 169506 1684 $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 48000 $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL FEES PAID BY RECEIPT: R3520 $115.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 1127 2017 10:33:37 CREDIT CARD VISA SALE Card a XXXXXXXXXXXX4445 SEQ#: 2 Batch#: 490 INVOICE 2 Approval Code: 001379 Entry Method: Manual Mode: Online Tax Amount: $0.00 Card Code: M SALE AMOUNT $115,UO CUSTOMER COPY Date Paid: Monday, November 27, 2017 Paid By: DONOVAN HEATING & AIR Cashier: BA Pay Method: CREDIT CARD 2 Printed: Monday,November 27,2017 10:34 AM 1 of 1 TRNOT