331 10TH ST - PERMIT ACRS18-0182 (2) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t 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: ACRS18-0182
Description: HVAC - 1 A/C, 1 AHU, 2 TON
Estimated Value: 8500
Issue Date: 5/4/2018
Expiration Date: 10/31%2018
PROPERTY ADDRESS:
Address: 331 10TH ST
RE Number: 170073 0000
PROPERTY OWNER:
Name: DURHAM LAUREL
Address: 331 10TH ST N
ATLANTIC BEACH, FL 32233-5529
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ESTES HEATING &AIR, INC.
Address: 1954 Southside Boulevard QA DAVID WAYNE ESTES
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 RegisterReceipt Receipt Number
r ofAtlanticBeach R4948
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK =$99:00
ACRS18-0182 Address: 331 10TH ST API:170073 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 23200 $24.00
= STATE SURCHARGES- $4.00-
STATE
4.00-STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4948 $99.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
05/02/2018 14:5122
MID:XXXX30(X)=815 TID:XXXXX416
CREDIT CARD
VISA SALE
Card# XXXXXXXXXXXX5071
SEQ#: 5
Batch#: 597
INVOICE 5
Approval Code: 310737
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $99.00
I agree to pay above total amount
according to card issuer agreement.
(Merchant agreement if Credit Voucher)
Date Paid:Wednesday, May 02, 2018 X
Paid By: ESTES HEATING &AIR, INC.
Cashier: BA
Pay Method: CREDIT CARD 5
MERCHANT COPY
Printed:Wednesday,May 02,2018 2:52 PM 1 of 1
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