1072 Little Cypress Key HVAC permit 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: ACRS18-0008
Description: replace 3.5-ton 40K-BTU AHU
Estimated Value: 4000
Issue Date: 1/11/2018
Expiration Date: 7/10/2018
PROPERTY ADDRESS:
Address: 1072 LITTLE CYPRESS KEY
RE Number: 172027 5822
PROPERTY OWNER:
Name: SWANN STEPHEN C
Address: 332 3RD ST
ATLANTIC BEACH, FL 32233
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 C (L S �— 00 O
JOB ADDRESS: O Z !� "/e nt PERMTT#
PROJECT VALUE $ h1l 0 0 0 ARI# � !' 2 REQUIRED
Air Handling Equipment Only k"'A—ir Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Ratin
Heat: Unit Quantity BTU's Per Unit gREQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3-S_ Seer Rating
Heat: Unit Quantity BTU's Per Unit 0 0� gREQUIRED
Duct Systems: Total CFM
FIRE PREVENTION 3 sets of laps)
Fire Sprinkler System Quantity (Requires p
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
Outlets Pumps
##Veened WFulaces 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 provisionsofany other state or local law regulation construction or the performance of construction.of
Property Owners Name t f h� C - tjj4ju Phone Number q23-04 l —
Mechanical Company OK eat ANLY Q!R Office Phone��'I�$1y�' Fax 1 1'gZ
Co. Address:
aD 6 S c;4) ( k City �A-A State Tt-- Zip 3229 T
T I R �y State Certification/Registration#Cup 125nA3 0(License Holder(Print):
Notarized Signature License Holder
ALMIR HADZIC B fore me this day of 20 IR
My COMMMMWN/G006W2
ECPM Fkwuwy 01.=Si griature of Notary
Scanned by CarnScanner
s rSyL`1r�J,
f Cash Receipt
City ofAtlanticBeach •
97
DESCRIPTION • CITY PAID
PermitTRAK $107.00
ACRS18-0008 Address: 1072 LITTLE CYPRESS KEY APN: 172027 5822 $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 40000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL : • 1 11
Date Paid: Thursday, January 11, 2018
Paid By: NORTHPORT CONSTRUCTION GROUP d
Cashier: BA
Pay Method: CREDIT CARD 2
S
Printed:Thursday,January 11, 2018 9:25 AM 1 of 1 �
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