725 Atlantic Blvd #9 & #10 condensers permit CITY OF ATLANTIC BEACH
s> 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL COMMERCIAL HVAC DETAILS PER BUILDING PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MCAC18-0001
Description: install 11.5K-BTU & 7.5K-BTU condensers
Estimated Value: 4000
Issue Date: 1/22/2018
Expiration Date: 7/21/2018
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 9
RE Number: 171363 0000
PROPERTY OWNER:
Name: ATLANTIC-PENMAN LLC
Address: 500 S 3RD ST
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HWV MECHANICAL/ELECTRICAL CONTRACTORS
Address: 12797 Wilderness LN
JACKSONVILLE, FL 32258
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 AA CA- C I $ —oov 1
JOB ADDRESS: :dar�d( k?11/r4_ I� PERMIT# —1 q-ov'2-j
PROJECT VALUE $--;s227 ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser ZCondenser 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
Heat: Unit Quantity BTU's Per Unit 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 QtyAutomobile 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 11� r3Tu 13 24-<L-r-D
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells 7 PX44:cv.
OTHER: /C lrxG Y j�04'1 C rireezerr�ko iloy z -23� �Uccr� rof li, IS(/�
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 I 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 performance of construction.
Property Owners Name (�Qn t2,0l+t°C Phone Number C ud 5:�)O—73 j 7
Mechanical Company QIP() V ! fI- h-;64 ��� sic, Office Phone&4-4943 Fax qL%I-SSg3
Co. Address: q? 12? c14t2sf= a12 P- City J61 X- StatetL--Zip
License Holder(Print): 111,61h, State(Certification/Registration# om:z JU4-)I)n/c7
Notarized Signature of License Holder
Before me this _day of ICIrIfQ 20V
C�X4)-
FASIM A ViDELA Signature of Notary Public
MY COMMISSION#FF155288EXPIRES August 27,2018
398.0189 FbrlUttll 0o,00m
Cash ' Receipt
r •
City
of Beach
DESCRIPTION • QTY PAID
PermitTRAK $93.00
MCAC18-0001 Address: 725 ATLANTIC BLVD UNIT 9 APN: 171363 0000 $93.00
MECHANICAL $89.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
HEAT EXCHANGER OR COIL IN DUCTS 455-0000-322-1000 0 $10.00
FURNACES AND HEATING 455-0000-322-1000 19000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 1 0 $2.00
STATE DCA SURCHARGE 45500002080700 1 0 $2.00
'TOTALRECEIPT: . . $93.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
01,22,2018 11:03:22
CREDIT CARD
VISA SALE
Card XXXXXXXXXW0226
SEQ 3
Batch 526
INVOICE 3
Approval Code: 282825
Entry Method: Manual
Mode: Onlne
Tax Amount: $0.00
Card Code: M
SALE AMOUNT X931
CUSTOMER COPY
Date Paid: Monday, January 22, 2018
Paid By: HWV MECHANICAL/ELECTRICAL CONT
Cashier: BA
Pay Method: CREDIT CARD 3
Printed: Monday,January 22, 2018 11:04 AM 1 of 1
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