2347 Fiddlers Ln HVAC permit JSrjLy
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S J 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: ACRS18-0101
Description: HVAC - 1 A/C, 1 AHU, 4 TON
Estimated Value: 10240
Issue Date: 3/30/2018
Expiration Date: 9/26/2018
PROPERTY ADDRESS:
Address: 2347 FIDDLERS LN
RE Number: 169463 0112
PROPERTY OWNER:
Name: HAMMOND JULIE A TRUST
Address: C/O JULIE A HAMMOND TRUSTEE
BURKE, VA 22015-2841
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: THIGPEN HEATING & COOLING INC.
Address: 2801 DAWN RD QA MICHAEL WAYNE HAYES
JACKSONVILLE, FL 32207
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 2S r O - O f Q
Ph(904) 247-558826 Fax(904)247-5845 l,�
JOB ADDRESS: 7 .�/ cL-Gr/1�'r PERMIT#Ires/,7-
0
PROJECT VALUE l0 #71s'�a / �.
REQUIRED 1
NEW AIR CONDITIONING & HE TING S M'1,NS-T'ALLATI.ON._....- . J
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTUs per Unity Seer Rating
Duct Systems: Total CFM �'� REQUIRED
REPLACEMENT 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
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 Foods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
)FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six month-,f 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. no permit does not give authority to violatetherevisions of any oth tate or local luw regulation construction or the perfonnance of construction,
Property Owners Name ��I phone Number
Mechanical Company 1 rvf �Office P h o n e�W?%2F ax
Co. Address: Zet-?/ * City State Zip
License Holder(Print): / CIC �4State Certification/Registration# (5 COs`67o?�i
M
Notarized Signature of License Holder
- - -----DFM
NA JONES Before me this 12- day Of P{L 20__x_
„; r- Commission#FF 930612
P= Expires February 26,2020 Signature of Notary Public
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Cash
Register
- • Receipt ' pNumber
City of Atlantic Beach • '
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $115.00
ACRS18-0101 Address: 2347 FIDDLERS LN APN: 169463 0112 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL ' R4650 $115.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
03,30/2018 12:47:00
CREDIT CARD
VISA SALE
BARD# :(xxxxx IXXXXX8S18
INVOICE 0008
SEQ#: 0008
Batch#: 000767
Approval Code. 01021G
:nty Method: f,Iallual
lode: Online
Tax Amount: $0 00
Card Code: M
SALE AMOUNT $1152
CUSTOMER COPY
Date Paid: Friday, March 30, 2018
Paid By: HAMMOND JULIE A TRUST
Cashier: CB
Pay Method: CREDIT CARD 01021g
Printed: Friday, March 30,2018 12:47 PM 1 of 1 It
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