800 Jasmine St HVAC permit J - sf
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: ACRS18-0149
Description: replace 2-ton 24K-BTU AHU
Estimated Value: 3300
Issue Date: 4/13/2018
Expiration Date: 10/10/2018
PROPERTY ADDRESS:
Address: 800 JASMINE ST
RE Number: 170927 2030
PROPERTY OWNER:
Name: DUNCAN GREGORY C
Address: 800 JASMINE ST
ATLANTIC BEACH, FL 32233-1713
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 A C S ( 4_ O (,.5
JoB ADDRESS: C) :3�,s r, >. S- fe y PERMr# U
PROJECT VALUE$ 3300,
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 REQUDRED
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTAL�/VON
AM# / ,2 0
Air Conditioning: Unit Quantity _ Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating I y, 6
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 Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile 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 does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I 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. The permit does not giveorty to violate the provisions of any other state or local law regulation construction or the performance of construction.
Name
Property Owners i 0..wo_n_l__ L it k ee-/ CS Jbd , Phone Number
Mechanical Company A- C #,,,L,4 R T–,, Office Phone 2' Fax
Co.Address: q q,5 C� �
a. w S�,t.,; It 3 b Ci rr I-15
ty,���J�a�, 1�c state� Zip n
License Holder(Print): CL-de--, S, _sta on/Registration# Caq'(9-
Notarized Signature of License Holder
worn and subscribed before me day 9,f �� 20
F.,?,01
'sf DEBRAANN HOISINGTOMY COMMISSION a GG031926 ignature of Notary Public
EXPIRES octobw 15,2020
Cash ReceiptNumber
Register •
r
•
City of Beach R4768
DESCRIPTION • CITY PAID
PermitTRAK $262.39
ACRS18-0149 Address: 800 JASMINE ST APN: 170927 2030 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
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 $2.00
ACRS18-0150 Address: 1741 MARITIME OAK DR APN: 169505 1790 $163.39
MECHANICAL $159.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $48.00
AIR DUCT SYSTEM 455-0000-322-1000 2400 $28.00
FURNACES AND HEATING 455-0000-322-1000 72000 $28.00
STATE SURCHARGES $4.39
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.39
STATE DCA SURCHARGE 45500002080700 1 0 $2.00
TOTALPAID BY RECEIPT: • : $262.39
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
)413 2018 09:07:51
CREDIT CARD
MC SALE
"ARD a ;(XXXXXXXXXXX9016
:INVOICE 0001
3EQ#: 0001
Batch 4: 000776
kpproval Code: 009SOG
:nty Method: Manual
Node: Online
Tax Amount, $0.00
yard Code: M
Date Paid: Friday, April 13, 2018 SALE AMOUNT 5262,39
Paid By: A/C MASTERS HVAC INC
Cashier: CB
CUSTOMER COPY
Pay Method: CREDIT CARD 00950g
Printed: Friday,April 13,2018 9:08 AM 1 of 1
m.or