1817 Atlantic Beach Dr HVAC permit . � t 4 CITY OF ATLANTIC BEACH
y 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: ACRS18-0169
Description: install 2.5-ton 30K-BTU & 3-ton 36K-BTU AHUs &2.2K CFM duct
Estimated Value: 14925
Issue Date: 4/27/2018
Expiration Date: 10/24/2018
PROPERTY ADDRESS:
Address: 1817 ATLANTIC BEACH DR
RE Number: 169505 1515
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 1227 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
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 X71
.IUB ADDRESS: (� Ci✓+�; C �' c _\h i ; PERM]T
PROJECT VALUE $
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit d `! -3
Heat: Unit Quantity „t BTU's Per UnitX JT JJ 7• i,,d)0 Seer Rating
Duct Systems: Total CFM �_ REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING IIeat Exchanger
Quantity of Outlets Pumps
#t Vented Wall Furnaces Refrigerator Condenser BTU's
4 Water Heaters Solar Collection Systems
Tanks(gallons)
�j 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 give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name �,V e f 1 Phone Number
Mechanical Company )t a OVA-( T ., �_ Of-iice Phone c) -�/a / aax
Co.Address: Lt�� Tyr e - J .� � r� 3(� City J.i d./A State r� Zip
License Holder(Print): '"., (% n,_b 1-r t egistration 4 ( b�
_C
Notarized Signature of License Holder
Sworn and subscribed before me is c,�� day,ef -} I 20
DEBRA ANN HOISINGTON �
Signature of Not Public tt
k MY COMMISSION a GG031924
;; EXPIRES oclobw 15,2020
tit Register •
Jv City of Beach • • •
DESCRIPTION • •
.Ty PAID
PermitTRAK $310.54
ACRS18-0169 Address: 1817 ATLANTIC BEACH DR APN: 169505 1515 $155.27
MECHANICAL $151.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2200 $28.00
FURNACES AND HEATING 455-0000-322-1000 66000 $28.00
STATE SURCHARGES $4.27
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.27
STATE DCA SURCHARGE 45500002080700 0 $2.00
ACRS18-0170 Address: 347 10TH ST APN: 170079 0200 $155.27
MECHANICAL $151.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2200 $28.00
FURNACES AND HEATING 455-0000-322-1000 66000 $28.00
STATE SURCHARGES $4.27
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.27
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4906 $310.54
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
4/27/2018 10:26:01
CREDIT CARD
MC SALE
;ARD# XXXXfOIX)D(X)GX9016
INVOICE 0004
SEQ#: 0003
Batch#: 000786
Approval Code: 02529G
Entry Method: Manual
Mode: Online
'I ax Amount: $0.00
;:ard Code: M
Date Paid: Friday, April 27, 2018
Paid By: A/C MASTERS HVAC INC ')'ALE AMOUNT "310.54
Cashier: CB
Pay Method: CREDIT CARD 0259g CUSTOMER COPY
/r►
Printed: Friday,April 27,2018 10:27 AM 10
TWT