333 PLAZA - DUCT WORK ' '`` sA CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
,I'%0111W,- INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL OTHER -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MCRS18-0006
Description: RELOCATE DUCT, ADD DRYER VENT
Estimated Value: 2000
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 333 PLAZA
RE Number: 169999 0000
PROPERTY OWNER:
Name: William Alfaro
Address: 333 PLAZA
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: WILSON HEATING &AIR
Address: 100 MASTERS DR QA TODD BECKETT WILSON
ST.AUGUSTINE, FL 32084
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
2 Ph(904)247-5826 Fax (904)247-5845 NA. a RS I g -0 0 v Co
JOB ADDRESS: 333 PI I (1 2 PERMIT#
PROJECT VALUE $ r CSO 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
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: P.IO('cue (1uC4 Ch t 5i7 FIS, 111101 (1._ !p V2.r4
'ermit 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
his 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
lot. 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 W ► 11 ICO) A\3-Ct_.VO Phone Ntunberqeg- logq-4334
Mechanical Company \\ \ \g3rrt 0.�'rly s A 1 r Office Phone -1 Ll U Fax 82'4 -12-54
-.o. Address: 100 Ikl(1S4eys DY City S+ A19 State E Zip . 211,1--
License Holder(Print): I-Oda (3 ....(::.);p Stat ertification/Registration# C�1C05g7-52
Votarized Signature of License HolderG '
00%.;. EMILY MARIE VERDELtBefore me this&Le day of Apot 20 1 )
•" MY COMMISSION 8 t3G005334
tAityEXPIRES June 23,2020 dignature of Notary Public - Gh�Q U -t�.l
(407)398-0153 F'or dallotaryServIce tom
�s Cash Register Receipt Receipt Number
Ta
tea, 0
'V City of Atlantic Beach R4944
—0,31 %'
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $79.00
MCRS18-0006 Address: 333 PLAZA APN: 169999 0000 $79.00
MECHANICAL $75.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
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: R4944 $79.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,,:L 32233
D5,02 2018 09:44:33
CREDIT CARD
VISA SALE
CARD x XXXXXXXXXXXX0954
:INVOICE 0002
>EQ;: 0002
Sat h n: 000789
4pproval Code: 099418
ntry Method: Manual
Rode: ()nine
Tax Amount: 80.00
Card Code: M
SALE AMOUNT $79,00
CUSTOMER COPY
Date Paid: Wednesday, May 02, 2018
Paid By: William Alfaro
Cashier: CB
Pay Method: CREDIT CARD 099418
Printed:Wednesday, May 02,2018 9:45 AM 1 of 1
s
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