152 SANDY BEACH LN HVAC & RECEIPT j1j
V
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
19
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0110
Description: new 2-ton 24K-BTU AHU & 800 CFM duct system
Estimated Value: 3900
Issue Date: 3/15/2018
Expiration Date: 9/11/2018
PROPERTY ADDRESS:
Address: 152 SANDY BEACH LN
RE Number: 1734140195
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY INC
Address: 797 MAYPORT RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA AIR SERVICE & ENG.LLC
Address: 150 QA JOSE FERNANDEZ
PONTE VEDRA, FL 32081
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.
Mar 15 2018 06:08AM HP FaxFAE 9048239995 page 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, VL 32233 w10
Ph (904) 247-5826 Fax(904) 247-5845 Ac K's I
JOB ADDRESS: It f-1 PERMIT
PROJECT VALUE $ ARI# u-,4,5-SW BEQUIRED
Air Handling Equipment Only VA' ir Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Coriditioning., Unit Quantity i — Tons Per Unit —0
Heat: Unit Quantity BTU'5 Per Unit Seer Ratin 15,
Duct Systems: Total CFM �OT— REQUIRkb—
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating RE—QUIRED
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 plains)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systerns Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty____ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Ele tors/Escalators—
ALL OTHER GAS PIPING HeatlExchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTUs
4 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit WcQrnes voidifwDrk does not commenwe witItin a six morith period or work is suspended or abandoned for six months.I hereby certify that-I have read
this application W 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 audiorit to . late the provitions of ther state or I I Jaw regulation construction or the performance of construction,
Property Owners Narne Phone Number
-MU--
Mechanical Company rk'-A�W0 �Atl'-�Q4-11 I-L(—Office Phone 823-9696 Fax 823-9995
Co, Address: 150 HILDEN RD #308 city PONTE VEDRA State FL Zip 32081
0
9�;
License Holder(Print); JOSEFERNANDEZ State Ccrtiflcation/Registration# CAC1813923
Notarized Signature of License Holder
ULLAN H.P=AYNEfore me te day of
21
Conisolon FF 899281
t ber 1
Explim November 1 1�,2019 natureofNotar Public
L
E4.
Cash Register Receipt Receipt Number
City of Atlantic Beach R4505
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $357.00
ACRS18-0108 Address: 142 SANDY BEACH LN APN: 173414 0205 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
AIR DUCT SYSTEM 455-0000-322-1000 800 $20.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE T- 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 1 45500002080700 0 $2.00
ACRS18-0109 Address: 146 SANDY BEACH LN APN: 173414 0200 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
AIR DUCT SYSTEM 455-0000-322-1000 800 $20.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 1 $2.00
ACRS18-0110 Address: 152 SANDY BEACH LN APN: 173414 0195 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
AIR DUCT SYSTEM 455-0000-322-1000 800 $20.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
STATESURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SU RCHARG E 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4505 $357.00
m ce-
Date Paid:Thursday, March 15, 2018 CD
Paid By: BEACHES HABITAT FOR HUMANITY I
Cashier: CB
00
Pay Method: CREDIT CARD 00385j
cm
C" '13
IM
Printed:Thursday, March 15,2018 10:05 AM
MVMT