73 Garden Ct HVAC permit i
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"!C);3 �% INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0120
Description: replace 2.5-ton 28.2K-BTU AHU
Estimated Value: 3500
Issue Date: 3/28/2018
Expiration Date: 9/24/2018
PROPERTY ADDRESS:
Address: 73 GARDEN CT
RE Number: 169716 0040
PROPERTY OWNER:
Name: SMITH FRANKLYN C
Address: 73 GARDEN CT
ATLANTIC BEACH, FL 32233-5958
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.
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 APFLICATION
CITY OF ATLANTIC B ACH
800 Seminole Rd Atlantic Beach,F1,32233
Ph(904) 247-5826 Fax(904)247-5845 /�
JOB AADDRESS: C PERmrr# I 1` is
PROJECT VALUE S , � ARI# ` REQ157RED
Air Handling Equipment Only XAir Handling Unit Condenser Condenser Only
NEW 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.
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Ham: Unit Quantity BTU's Per Unit Seer Rating14
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity _ (Re uires 3 sets of plans)
Fire Standpipe Quantity (Rejuires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Re juires 3 sets of plans)
Commercial Hoods Quantity (Re juires 3 sets of plans)
Fire Suppression Systems Quantity (Re juires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Li s
Gas Piping Outlets Boilers BTU's
Elevators/Esc tors
ALL OTHER GAS PIPING Heat Exchange
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER; Z\�ISAIA AW - + 122--2-1 W
Pennit becomes void if%vork does not commence within a six month periodor work is suspended or battdoned for six months.I hereby ceitify djat I have rea
this application and kww the same-to be true and correct. All provisions of laws and ordinartaes Soy ming this work")be complied with whether specified or
am. The pemtit does not give authwity to vialatc the pWyun0USof2ny other state or tocal lax consvwtion or the
perfirtatatrce of constmetion.
Property Owners Name Phone Num�j �
ber37�
rt
\4echanical Company__PA Rf � L` ce PhoncTt- er&#ax QN- p-5 �
o.Address: City,. i State ;nP3z25y
License.Homer(Pkint)r State Ce rdfication/Registradon 9..
Votarized Signature of License Holder
MARISOL RA 11Rtl3ef Ire me thiscv_� day of 611 ?(} _
�e
PA COMMISSION tt FF95
ga ature of No Public
EXPIRES January 31.20 � V`(
wat ssan-n a3 i kw*UNotnrySnrvxa Cam
Cash Register • Number
City of Atlantic Beach R4625
DESCRIPTION • QTY PAID
PernnitTRAK $99.00
ACRS18-0120 Address: 73 GARDEN CT APN: 169716 0040 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 28200 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0
TOTAL FEES PAID BY RECEIPT: R4625 $99.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
03128/2018 14:09:16
CREDIT CARD
VISA SALE
Card# XXXXXXXXXXXX5256
SEQ#: 4
Batch#: 572
INVOICE 4
Approval Code: 050914
Entry Method: Manual
Mode: Online
Tar Amount: X0,00
Card Code: M
SALE AMOUNT $99,00
CUSTOMER COPY
Date Paid: Wednesday, March 28, 2018
Paid By: Elite AC, LLC
Cashier: BA
Pay Method: CREDIT CARD 4
/`
Printed:Wednesday, March 28,2018 2:10 PM 1 of 1 Im
TRACT