1741 Maritime Oak Dr HVAC permit �Vj
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: ACRS18-0150
Description: new two 1.5-ton 18K-BTU AHUs, 3-ton 36K-BTU AHU, 2.4K CFM
Estimated Value: 12895
Issue Date: 4/13/2018
Expiration Date: 10/10/2018
PROPERTY ADDRESS:
Address: 1741 MARITIME OAK DR
RE Number: 1695051790
PROPERTYOWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC ]BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 C r S
JOB ADDRESS: 0,� 3 r N C- PERTvnTo
PROJECTVALUE$
NE W AIR CONDITIONING & BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit (�)/,5 1 J
Heal: Unit Quantity BTUs Per Unt �/,D J Seer Rating, ?7
Duct Systems: Total CFM
REQULRED
REPLACEMENT AIR CONDITIONING & BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit ARI#REQUIRED
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 Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHE R GAS P11PING I leat Exchanger
Quantity of Outlets Pumps
9 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 lawg and ordinances governing this work will be compHed with whether specified
or not The permit does not give authority to violate the provisions of any other state or local low regulation construction or the performance of construction.
Property Owners Name kt\jty-�, L, )-
I -�'V%e S Phone Number
Mechanical Company h1c K,11,4tlz 4� k --"e Office Phone-7-)-�-�9�rFax -7-�-14�1/�
Co.Address: City Statert
License Holder(Print): e- cation/Registration# (--k I 37,51j
Notarized Signature of License Molder
wom and subscribed before day 20 d
OEBRAANN HOISINGTON
N.-
I MY COMMISSiON 0 00031926 Signature of Notary Public
EXPIRFS Octobw 15,2020
Cash Register Receipt Receipt Number
City of Atlantic Beach R4768
DESCRIPTION ACCOUNT 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
STATESURCHARGES $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 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4768 $262.39
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,;1-32233
�)4 13,2018 09:07:51
CREDIT CARD
MC SALE
.ARD :(XXXXAXXXXX9016
'INVOICE 0001
3EQ 9: 0001
3atch;: 000776
Approval Code� 009SOG
-nty Method: Manual
Mode: Online
'fax Amount: $0.00
'ard Cok M
Date Paid: Friday, April 13, 2018 �ALE AMOUNT �26239
Paid By: A/C MASTERS HVAC INC
Cashier: CB CUSTOMER COPY
Pay Method: CREDIT CARD 00950g
000%
Printed: Friday,April 13,2018 9:08 AM 1 of 1