2120 Beach Ave HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
co) � INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4113M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0007
Description: replace 2 3-ton 30K-BTU AHUs
Estimated Value: 8756
Issue Date: 1/8/2018
Expiration Date: 7/7/2018
PROPERTY ADDRESS:
Address: 2120 BEACH AVE
RE Number: 169510 0010
PROPERTY OWNER:
Name: MCMANUS JOHN H
Address: 2120 BEACH AVE
ATLANTIC BEACH, FL 32233-5933
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HOME SERVICES BY MCCUE OF NORTH FLORIDA
Address: 981 11TH AVE S Jacksonville S
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.
01/07/2018 18:32 9042460377 HUXHAM HEATING & AIR PAGE 01101
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Reach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 A C 5 i 46-000q
OB ADDRESS: v z p b F o r h Ay P a PERMTr#
PROJECT VALUE $ $ 7 5 6. 0 0 ARI# `�6 ( 23 7 o REQUIRED
_,Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
IEW 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
.EPLACEMENT AIR CONDITIONING & HEXTING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity z Tons POr Unit 3
Heat: Unit Quantity—7— BTU's ]der Unit 3b 004 Seer Rating
Duct Systems: Total CFM REQUIRED
'IRE 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 Vose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity _ _ (Requires 3 sets of plans)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty )kutomobile Lifts
Gas Piping Outlets 1�oilers BTU'S
$levatolrs/Escalatolrs
,LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters polar Collection Systems
Tanks (gallons)
Wells
O'T'HER.:
:rmit becomes void if work docs not cornmcnce within a six month period or Work is suspended or Abandoned for six months. I hereby certify that I have read
is application and know the same to be true and correct. All provisions of laws and ordinances governing,this work will be complied with whether specified or
,t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name 7 h Mc /1 a A V SPhone Number j 1 V ' 11 n
lechanical Company rh t .�rlm kk e a4E - 1� Office Phoria-`2��-;J 5'( Fax
,,) � Mo('up' 't
P ,-^.3 -J kv
o. Address: 4V /11' A/e' 157,, City
4 State R Zip3ZZ E-0SJ 'Los7�rl l
icense Holder (Print): Atate Certification/Registration# CAC 1?I f `-40
otarized Signature of License Holder s X11
�t,t�., MIRNA AOSMA06.DOWNING Before me this_ day
�,: Nnlaty Puhlir. •$tatty p}Florida
= Commisslon*
GIG 042216 Signature of Notary Public
►.._t___
•S�`!r
Cash Register Receipt Receipt Number
City ofAtlanticBeach • •
DESCRIPTION • • • ,
PermitTRAK $135.00
ACRS18-0007 Address: 2120 BEACH AVE APN: 169510 0010 $135.00
MECHANICAL $131.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $48.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
ITOTAL FEES PAID BY RECEIPT: R3858
11
Date Paid: Monday, January 08, 2018
Paid By: MCMANUS JOHN H
Cashier: BA
Pay Method: CREDIT CARD 4
s
Printed: Monday,January 08, 2018 2:05 PM 1 of 1 i
TRM.1