388 11th St refrigerator condenser permit rj�,,.l,yrfv�
.�� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL OTHER -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MCRS18-0005
Description: 4715-BTU refrigerator condenser for wine cellar
Estimated Value: 2500
Issue Date: 4/19/2018
Expiration Date: 10/16/2018
PROPERTY ADDRESS:
Address: 388 11TH ST
RE Number: 170092 0000
PROPERTY OWNER:
Name: COHEN GREGORY M
Address: 184 TUSCANY BEND ST
DAYTONA BEACH, FL 32117
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: D & T CONTRACTING SERVICES INC
Address: 1108 FITCHWOOD CR
JACKSONVILLE, FL 32258
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.
18-Apr-2818 14:12 - +12404749959 p.2
• 1 ' PM 580/,
• •
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
,r Q
Ph(904)247-5826 Fax(904)247-5845 M C 1 S —�S`
.IOB ADDRESS: 3$$ t 1-rti .7T. /1'LAvt�c c 1 a,,k , -3-7-43-3 PERMTr#
PROJECT VALUE$ d ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit&Condenser _Condenser Only
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
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 Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Cress Piping Outlets Boilers BTU's
Elevators/EscaUtors
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces 4rRefrigerator Condenser BT'U's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: L/Um C _2 MarStir .wL.'k Qewau-}�Ca_ e_ r- r
Permit bocome3mid if work does not commence within a six month period or work is suspended or abandoned for six months.I horeby certify that I have road
tris application and know the same to be true and correct. All provisions of laws and ordinances governing this work will he complied with whether specified or
not.The permit does Dot give authority to violate the pmvisirma of any other%tate or local law regulation construction or the perthrmance of mnstractinn.
Property Owners Name SrfA CQLP-)(1 Phone Plumber 0(64-5�-b�
10
1 n
Mechanical Company 1)+-r CO✓t'i`MC_ c rvtL,-, Office Phone
Co.Address:110Q9 /4r V.-id-e QCeS Uv e_LULU City (La State PI., zip 3-21S-7
License Holder(Print): btAksCO Certification/Registration# (�A Q'8170q$
1Vofariud Si afore of Lkense Holder
7t""'Ws DMMI S AL�EA R ore me this 1 day of �l
NY COMMISSION a FF
EXPIRES Sorg tn.2020 Si tore of Notary Public
Err swo,aa Fmiwwun�n.oa�
.S i�Llr
ReceiptCash Register
City of Beach R4827
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $83.00
MCRS18-0005 Address: 388 11TH ST APN: 170092 0000 $83.00
MECHANICAL $79.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
FURNACES AND HEATING 455-0000-322-1000 4715 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-06000 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTALBY • R4827 $83.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
04119%2018 10:05:26
CREDIT CARD
MC SALE
CARD# ;(XXXX)000fXXX8144
INVOICE 0003
SEQ#: 0003
13atch#: 000780
Woval Code: 000327
Enty Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $83,00
CUSTOMER COPY
Date Paid: Thursday, April 19, 2018
Paid By: D &T CONTRACTING SERVICES INC
Cashier: CB
Pay Method: CREDIT CARD 000327
go
Printed:Thursday,April 19, 2018 10:05 AM 1 of 1 4
TRA T