1602 Maritime Oak Dr HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
A INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0034
Description: install 3-ton 36K-BTU AHLI & 1200 CFM duct system
Estimated Value: 5995
Issue Date: 1/23/2018
Expiration Date: 7/22/2018
PROPERTY ADDRESS:
Address: 1602 MARITIME OAK DR
RE Number: 169505 1970
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 12276 SAN JOSE BLVD
JACKSONVILLE, FL 32223
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
JACKSONVILLE, FL 32246
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$7,500.
-MECHANICAL PERMIT AppucAmN
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 'At � Si �- bo
JOB ADDRFm: PERTMT# R E-�l 7 -ONS
PROJECT VALUE$
NEW AiR CONDITIONING&HEATING SYSTEM INSTALLATI.ON
Air Conditioning: UnitQuantity - Tons Per Unit :3
Heat: Unit Quantity I BTU's Per Unit 7C-op—p Seer Ratin&-1-5
Duct Systems: Total CFM -jai@_ REQVXRED
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit ARI 4 REQMW-D
Heat: * Unit Quantity_ BTU's Per Umt Seer Rating_
Duct Systems: Total CFM REQUDZED
FIRE PREVENTION
Fire Sprinkler System Qumtity (Requim 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 plaus
Commercial Hoods Quantity (Requires 3 sets of plans'l
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU')s
Elevators/Esca]ators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps BTUS
#Vented Wall,Furnaces Refrigerator Condenser s
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
kerv�t becomes void if work does not wmmerwe VAthin a sfx month period or work is suspended or abmxloaod for six months.I harchy catify that I hm raw
this application and know the same to be true and coffftt All provisions of laws and ordinances governing this work will be compRed with whegm specified
or not- The permit does not give authority to violate the provisions of aw other state or local law regumon,construedon or the paifomanoe ofoonstructiom
Property Owners Name C(,�,i 1- )L inklc Phone Number
Mechanical Company., A &.s�n th A-f- Office Phone 7JI021— Fax 7-)�ITO
Co.Address: - --q4,5 75LIC-t, City Ile State PL Zip-Uaf
License Holder(Print): C4-dt
,s CmL4-elL.
AlRegistration
Notarized Signature of License Holder
Sworn and subscribed before m da" �1 20 /7
DE13RA N HOISINOTO
-tto.k.
ILI w,- I �?E,
my COMMISSION#00031920 - w-
Notary Pd
Ignature of
EXPIRSS Oct"IS,21D20
Receipt Number
Cash Register Receipt
City of Atlantic Beach R4011
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $107.00
ACRS18-0034 Address: 1602 MARITIME OAK DR APN: 169505 1970 $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 4SS-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: R4011 $107.00
CITY OF ATLANTIC BEACH
800 SEKNOLE RD
ATLANTIC BEAC,Fl.32233
01/23/2018 13:59:50
CREDIT CARD
MC SALE
Card# XWXW=9016
SEQ#: 6
Batch#: 527
INVOICE 7
Approval Code: 01820G
Entry Method: Manual
Mode: Online
Tax Amount 4100
Card Code: M
SAIE AMOUNT $107,00
CUSTOMER COPY
Date Paid: Tuesday, January 23, 2018
Paid By: A/C MASTERS HVAC INC
Cashier: BA
Pay Method: CREDIT CARD 7
Printed:Tuesday,January 23, 2018 2:04 PM 1 of 1
TROWiT