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541 BEACH 3 DEHUMIDIFIERS .jrL`Jf J CITY OF ATLANTIC BEACH �r 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: ACRS18-0112 Description: 3 DEHUMIDIFIERS Estimated Value: 3500 Issue Date: 3/16/2018 Expiration Date: 9/12/2018 PROPERTY ADDRESS: Address: 541 BEACH AVE RE Number: 170155 0100 PROPERTY OWNER: Name: PETERSEN PETER E Address: 541 BEACH AVE ATLANTIC BEACH, FL 32233-5323 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: DONOVAN HEATING &AIR Address: 532 S 3rd ST 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. 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. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC ]BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904) 247-5826 Fax (904)247-5845 JOB AnnrESS: �► �-U Ac L S( y-© l o- PERMIT# PROJECT VAL UE S DD , -0 ti .AV# N � Air Handling Equipment Only �Q�IREA Amir Handling Unit& Co ,udeaselr Condenser Only NEW A CONDI'T'IONING & HEAMG SYSTEM INSTALLATION Air Conditioning: Unit Meat: t3'Quantity--- Tons Per Unit Unit uauti Duct Systema: TOW FM $TU s Per Unit�-- Seer R,atin REPLACEMENT AIR CONDITIONING & HEATING SYS REQUr ED ,Air Conditioning: TEM INS Unit Quantity Tons Per Unit _ Heat: --��`-- Duct Systems: T Q Mho BTU's Per Unit _� Seer Ra " 112-- — REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity Eire Standpipe (Requires 3 sets of ply) Underground Fire Main Quantity _ (Requires 3,sets of plans) Fire Hose Cabinets Value (Requires 3 sets of plans Commercial Hoods Quantic (Requires 3 sets of plans) Fire Suppression Systemsn (Requires 3 sets of plans) Q"�h�' (Requires 3 sets of plans) EIRE PLACES Prefabricated Fireplace Qty Automobile Lifts 0,cis Piping Outlets MISCELLANEOUS: NT-U ---_.�_ Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps ##Vented Wali Furnaces Ref�ti.gerator Condenser BTU's # Water Heaters Sour Collection Systems Tanks(gallons) Wells OTHER: �delnu. a,(-Peas Ap� 6-`lrer 1'�-10 �Ss� 1$3fl eermit hecomes void if work does not oommenco within a six month period or work is suspended or abandoned for six months.Z 1=by certify that i havo road his 1:i,;Aication and know the same to be true and correct. All provisions of laws and ordinances governing titin work will be complied with whether specified or lot. Ele Permit does not give authority W violate tha provisions of any other state or local law regulation construction,or the perfornmoe of construction. ?rope:rty Owners Name ( �C�. -�e. „Sp r Phone Number 9�1 �.j X83 vlecharlic `� pf-� � . al Company on 4av\ "j- � i r Office Phone2, -`19,- Fax2A:, -'`r �o. Address: 36. (ate R42 `j, City - a- :96- StateV--t- Zip �?27S11' License Holder(Print): 'M i A n, 1Dan o J o r, State Cemficadon/R,egistration# L'1 o 3 T? Vofai*ed Sknatwe of License Holder , wmb� 4 111a - �;� RICHARD L TOMPxiN afore me s ) 5- day of 20 � s� �; Commissbn�GG 119585 — "' ' Expires juiY 2g,2021Ss� Notary Public d- s�•„�;+t; U,&d 1111 Troy Fein Ml 9 JCash Register Receipt • Number City of Atlantic . _ R4530 DESCRIPTION • QTY PAID PermitTRAK $59.00 ACRS18-0112 Address: 541 BEACH AVE APN: 170155 0100 $59.00 MECHANICAL $55.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL 'AR4530 $59.00 Date Paid: Friday, March 16, 2018 Paid By: DONOVAN HEATING &AIR Cashier: CB Pay Method: CREDIT CARD 7 Printed: Friday, March 16,2018 3:35 PM 1 of 1ji TRACT