1275 LINKSIDE DR - HVAC lv
f; CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
yr
ATLANTIC BEACH, FL 32233
sf> INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0154
Description: HVAC - 1 A/C, 1 AHU, 3 TON
Estimated Value: 4700
Issue Date: 4/16/2018
Expiration Date: 10/13/2018
PROPERTY ADDRESS:
Address: 1275 LINKSIDE DR
RE Number: 172374 5385
PROPERTY OWNER:
Name: ESTES CLAUDIA ANN
Address: 1275 LINKSIDE DR
ATLANTIC BEACH, FL 32233-4392
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BROWARD FACTORY SERVICE BFS
Address: 2071 EMERSON ST QA JERRY LEROY BRIGHTWELL
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 i e j S ( O `, /
Ph(904)247-5826 Fax(904)247-5845 V L S�"
JOB ADDRESS: 1 a-I 5 L trA kstdc. DR. Aflaett•C Bead-if FC3-7133 PERMIT#
PROJECT VALUES H700 -00
NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION
ARI# 7 r-I'grt17 e
Air Conditioning: Unit Quantity I Tons Per Unit 3 REQUIRED
Heat: Unit Quantity S Ki,,) BTU's Per Unit Seer Rating I LI
Duct Systems: Total CFM . REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: •e 17i a c:n y O l el S. 4eel t 1,,.:+i, c1-4.r4..).
?leas . CW LLG W.,ea Ca. +4+4y 04 d4-i C.FZrts pect.cen
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Oak.)d, ST
- eS Phone NumberL7$-993-TIO 0
Mechanical Company BrO(a Cc! Facto c-j SPC )i c--e_ Office Phone`104-31b bstsfiax 40<1•346-6s J
Co.Address: 7 I Gk1 efso." Si 1(p CityR- cksono; I l'e Stater( Zip 3?2O 7
T- 1' l .• egistration# CACO51v7 74
License Holder(Print): �J ' i �" � ,t1t1� e I�- ��
11011
Notarized Signature of License Holder I, / [IM: _taw: i1�11.0
••• l i subs.ribed befo a me this day of (--- 20 i[
MICHELLE K C¢ARL50 : F
MY COMMISSION4WISS4` f Notary Public
43,keEXPIRES February 14.2020
µor 3N a•e3
radar+ C4f
•
Viz' 'i, Cash Register Receipt Receipt Number
s�
J V City of Atlantic Beach R4786
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS18-0154 Address: 1275 LINKSIDE DR APN: 172374 5385 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 5000 $24.00
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: R4786 $107.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
04/16/2018 15:40:13
CREDIT CARD
VISA SALE
CARD# XX O00000OXXX2042
INVOICE 0012
SEQ#: 0010
Batch#: 000777
Approval Code: 016942
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $107.00
CUSTOMER COPY
Date Paid: Monday, April 16, 2018
Paid By: BROWARD FACTORY SERVICE BFS
Cashier: CB
Pay Method: CREDIT CARD 016942
Printed: Monday,April 16,2018 3:42 PM 1 of 1 Ill