925 SEMINOLE RD - HVAC rLA,y� „. CITY OF ATLANTIC BEACH
i.. 800 SEMINOLE ROAD
,� yr ATLANTIC BEACH, FL 32233
�;t s? INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0058
Description: replace 3.5-ton 42K-BTU AHU
Estimated Value: 4990
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 925 SEMINOLE RD
RE Number: 170060 0000
PROPERTY OWNER:
Name: ROSS XAVIER
Address: 925 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5445
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: J & W HEATING AND AIR
Address: 11232 ST JOHNS IND PKWY STE 4 11232 ST.JOHNS IND
PKWY STE 4
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
Feb 13 2018 01:29PM J&W Heating & Air 9047649621 page 1 ��08Business
1 Capital"
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MECHANICAL PERMIT APPLICATI N
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
—
Ph (904)247-5826 Fax (904) 247-5845
LOB ADDRESS: '3 5 <<xe-e-.):1'-"c:I . :).Q - PERMIT#
PROJECT VALUE $ Lige3Q o o ARI# 4:940.4,5": 4c?8 REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
JEW 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
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit 3 • ,, 11
Heat: Unit Quantity I BTU's Per Unit �.D Seer Rating 1t
`
Duct Systems: Total CFM REQUIRED
IRE 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 set, of plans)
Commercial Hoods Quantity (Requires 3 set of plans)
Fire Suppression Systems Quantity (Requires 3 seta of plans)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
ITHER:
rmit becomes void if work does not commence within a six month period or work is suspended or abandoned for s'x months.I hereby certify that I have read
s 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
t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
operty Owners Name >CC-/9 e."-- w ),
� i j Phone Nurnberea3J-
echanical Company ..ar4.4..2 H 7'c) -.-•/4c1 T- Office Phonc (. •'7 Fax j.7 .
i. Address: 5<r:11 I e- . City sql4aNc. . State 1 Ziw3 5'7
cense Holder(Print):r-r—it' Gf"- State CertificationlRegistration# A .I S)55
43.9
Mari. , , i. Holder %r"
49::.* T--ANGELA L.MCCOY R
MY COMMISSION#GG 032tn1 e me this t 3 qday of fie l ru 4v-y 20 t $'
-'4,:-.
�',-cEXPIRES:September 20 20,1
•• A. a°ndedT +*WrPubic v • .
• 1ture of Notary
Public
'*.di,
J ? rA
Cash Register Receipt Receipt Number
City of Atlantic Beach R4236
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $107.00
ACRS18-0058 Address: 925 SEMINOLE RD APN: 170060 0000 $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 42000 $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: R4236 $107.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
02,14:2018 10:18:38
CREDIT CARD
VISA SALE
CARD# XXX000XXXXXX7153
INVOICE 0001
SEQ#: 0001
Batch#: 000736
Approval Code: 05156G
Envy Method: Manual
Mode: Onlie
Tax Amount, ;0.00
Card Code, M
SALE AMOUNT $107,00
CUSTOMER COPY
Date Paid: Wednesday, February 14, 2018
Paid By:J & W HEATING AND AIR
Cashier: CB
Pay Method: CREDIT CARD 05158g
Printed:Wednesday, February 14,2018 10:19 AM 1 of 1 1r