171 CLUB DR HVAC & RECEIPT .If "ss� 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: ACRS18-0152
Description: install 1400 CFM duct system
Estimated Value: 5200
Issue Date: 4/13/2018
Expiration Date: 10/10/2018
PROPERTY ADDRESS:
Address: 171 CLUB DR
RE Number: 1702460020
PROPERTY OWNER:
Name: HUGHES BRIAN P ET AL
Address: C/O HEEDE DAG 0
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COOL R US
Address: 6900 PHILIPS HWY SUITE 46 LEK GJOKA, QUALIFIER
JACKSONVILLE, FL 32216
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.
Cash Register Receipt Receipt Number
City of Atlantic Beach R4775
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $79.00
ACRS18-0152 Address: 171 CLUB DR APN: 170246 0020 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1400 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4775 $79.00
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Date Paid: Friday, April 13, 2018
Paid By: COOL R US
Cashier: BA
Pay Method: CREDIT CARD 5
Printed: Friday,ApriI13,2018 1:33 PM 1 of 1
TPMT
CITY OF ATLANTIC BEACH
,800 Seminole Rd Atlantic Beach. 1:1. `3223,
I'll (904) 247-5826 Fax (904) 247-5845
-S)II ADDRESS: Dt, AM ft)rtc, 60YA7 PERMIT#—
PROJECT VALUE S_ &�'00 AR1# REQUIRED
_A4v 14aind4ag-Equipment Only Air f landling hift & Condenser _Condemep On ly
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I'mis Per Unit
I leat: Unit QUanlitN 13,11!*S Per I;Ili( Seel- Ratin-,
Duct Systems: Total CI:M REQUIRED
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heal: Unit QUantity BTU's Per I!Ili( Seel- Ratill-
DLICI SVSICIIIS: Total CFNI REQUIRED
ARE PREVENTION
Fire Sprinkler System Oualllil\ (Requires 3 sets of plans)
Fire Standpipe QLIIlltit\ (Requires 3 sets of plans)
Underground Firc Main value (Requires 3 sets of plans)
Fire Flose Cabinets QUantity (Requires 3 sets of plans)
Commercial Hoods Qualltilk* (Requires 3 sets of plans)
Fire SLIppression Systems Q1.1alltitY (Requires 3 sets of plans)
"IRE PLACES MISCELLANEOUS:
Preftibricaled Fireplace Qt% Autolilobile Lifts
Gas Pipino Outlets Boilers
FlevalonvEscalators
kLL OTHER GAS PIPING leat Flxcllalltier
QLIaIllity Of 0UtICtS P1.IIIlpS
4 Vented Wall Furnaces Refrioerator Condenser
Water Healers Solar Collection SN-sleills
Tailks (gallons)
Wells
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,yinit licconi"void i I'work(I oes I Io I col III I I el I cc N%it I I i I I a six I I wt it I I peritid or%%ork is suslientIcki or allandoi ict I fitir six nion I I Is.I Ilerdiv certiA that I I In%e r,��
lis application illid kilo" the ;little to lie it-tic and correct. All Ilro%isiolls ol,kl%%.N and ordinmices go%enting this%%ork%%ill be complied iflth%%hether sliecificu,
.)I. The pennit does not--,i%e auiliority to%it it c I lie Ilro�isim is oran% otlier smic or It Iva I I.i%% reatilation con.sinj ciion or I lie lvi-iOnnance orconsirtic I lot I
Toperty Owners Narne Plione Number 3q 4.
leclianical Compan\- C400L, fe" "/_k)c,-
o. Address: Fftw, Stateff-,, Zip
Acensc Holder(Print): state
ioturized,V�gptufure of Liceme 1-1ohler
c [lie Illis Chu%
Notary PUNIC State of Florid,
TRACY L KEENOM
v o 1*Nolzir\
MY Commission GG I 88(Sio I i, Lii Public
or 0-6 Expires 03125/2022