940 Orchid St HVAC permit fS, 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: ACRS18-0045
Description: replace 2-ton 23.2K-BTU AHU
Estimated Value: 3308
Issue Date: 1/31/2018
Expiration Date: 7/30/2018
PROPERTY ADDRESS:
Address: 940 ORCHID ST
RE Number: 170947 0500
PROPERTY OWNER:
Name: AARONIAN RAY
Address: 208 S MILL RIDGE TRL
PONTE VEDRA BEACH, FL 32082-5113
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Elite AC, LLC
Address: 10150 Belle Rive BLVD #1407
JACKSONVILLE, FL 32256
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
JOS ADDRESS: q I �l 1.� I I l 1 )I 1 ltC/� Li/c�� PERITIT#
PROJECT VALUES : LEI, ARM
L)��_C5
REQUIRED
_Air Handling Equipment Only X Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATIO
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: I BTU's Per Unit: 2� er RatingSe ��
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 ivIISCELLANEOUS:
Prefabricated Fireplaoe Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger _
Quantity of Outlets Pumps
9 Vented Wall Furnaces Refrigerator Condenser BTU's
9 Water Heaters Solar Collection Systems
Tanks(,al Ion-s)' Wells
OTHERI{� C e a(.1� =L4rCilYl ( ' v- t L1=25I L f
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 an},other state or local
law regulation constrttetion or the performance of construction.
Property Owners Name—R10..q PTIOr r) Phone Number�(,,t� ` q ` `��-7
J.
Mechanical C m y L Office Phone �� 1
Co. Address: -`r N City tate p
License Holder(Print), State Certification/Registration
Notarized Signature of License Holder
Before me this��day of �(.+�) 20 1
Signature of Notary PublikY.!_1:'1 fi
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City of Atlantic J Beach • '
DESCRIPTION • CITY PAID
PermitTRAK $99.00
ACRS18-0045 Address: 940 ORCHID ST APN: 170947 0500 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 23200 $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: R4102 $99.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
01/31!2018 13:22:46
CREDIT CARD
VISA SALE
Card; XXXXXXXXXXXX5256
SEQ P: 6
Batch#: 533
INVOICE 6
Approval Code: 052213
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE AMOUNTgg,�
CUSTOMER COPY
Date Paid: Wednesday,January 31, 2018
Paid By: Elite AC, LLC
Cashier: BA
Pay Method: CREDIT CARD 6
/%
Printed:Wednesday,January 31,20181:23 PM 1 of 1 ��
TMGT