870 Seminole Rd 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: ACRS18-0033
Description: install 3-ton 36K-BTU AHU
Estimated Value: 4378
Issue Date: 1/23/2018
Expiration Date: 7/22/2018
PROPERTY ADDRESS:
Address: 870 SEMINOLE RD
RE Number: 171968 0000
PROPERTY OWNER:
Name: MIDGETT PAMELA J LIFE ESTATE
Address: 870 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5446
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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 7 Q J ems', 0 I f nj • PERMIT# J
PROJECT VALUE $ 4378.00 ARI#_9662370 REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3
Heat: Unit Quantity 1 BTU's Per Unit 36,000_ Seer Rating 15
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 Qty Automobile 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
# 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 provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Claude E. Midgett Phone Number 904-247-2819
Mechanical Company McCue Heating and Air Office Phone 904-241-2151_Fax
Co. Address: 981 11 th Ave. S. City Jacksonville Beach State FL_Zip 32250
License Holder (Print): Mitchell L. McCue State Certification/Registration # CAC 1818930
Notarized Sint a Ider
M11ANA ADSHADE-DOWNING
` T: Notary public.State of Florida Before me this_day 20
r: .
` Commission#GG 042216
' my Comm.Expires Oct 25.2020 Signature of Notary Public/'
Bonded through National Notary Assn•
J
Cash Register Receipt Receipt Number
City of Beach R4009
DESCRIPTION • CITY PAID
PermitTRAK $107.00
ACRS18-0033 Address: 870 SEMINOLE RD APN: 171968 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $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: R4009 $107.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
01,123 2018 11:21:22
CREDIT CARD
VISA SALE
Card K XXXXXXXXXXXX5908
SEQ;: 4
Batch;: 521
INVOICE 5
Approval Code: 112313
Entry Method: Manual
Mode: Onlire
Card Code: M
SALE AMOUNT $107,0
CUSTOMER COPY
Date Paid: Tuesday, January 23, 2018
Paid By: HOME SERVICES BY MCCUE OF NORT
Cashier: BA
Pay Method: CREDIT CARD 5
f
Printed:Tuesday,January 23, 2018 11:28 AM 1 of 1 �
THAViT