117 Ardella Rd HVAC permit�f�Jr
CITY OF ATLANTIC BEACH
p
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:
ACRS18-0200
Description:
replace 2.5 -ton 27.4K -BTU AHU
Estimated Value:
7490
Issue Date:
5/10/2018
Expiration Date:
11/6/2018
PROPERTY ADDRESS:
Address:
117 ARDELLA RD
RE Number.
172153 0000
Name: REED MICHELLE GLORIA
Address: 117 ARDELLA RD
ATLANTIC BEACH, FL 32233-4352
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA HOME AIR COND DBA ARS
Address: 4211 EMERSON ST OA DENNIS M BROWN
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
Ph (904) 247-5826 Fax (904) 247-5845 kc f S I I ri a
Ion ADDRESS: I I 7 A1,L5 4 L L A " PERMIT i
PROJECT VALUE $ If `19 2 ARI #,0/6 a 9 p 7/ REQUIRED
_Air Handling Equipment Only _Air Handling Unit & Condenser _ Condenser Only
qEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
QUID
Duct Systems: Total CFM
tEPLACEMENT AIR CONDITIONING & HEATING SYSTTTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 2- -�
Heat; Unit Quantity �_ BTU's Per Unit.A� Yo�J Seer RatingQU/RED
Duct Systems: Total CFM
?IRE PREVENTION
Fire Sprinkler System
Quantity
Fire Standpipe
Quantity
Underground Fire Main
Value
Fire Hose Cabinets
Quantity
Commercial Hoods
Quantity
Fire Suppression Systems
Quantity
TIRE PLACES
Prefabricated Fireplace Qty
Gas Piping Outlets
LLL OTHER GAS PIPING
Quamily of Outlets
# Vented Wall Furnaces
# Water Heaters
)THER: C/7,1, od
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets or plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
MISCELLANEOUS:
Automobile Lifts
Boilers BTU's
Elevators/Escalators
Heat Exchanger
'um
)5
Refngerator Condenser BTU's
Solar Collection Systems
Tanks (gallons)
Wells
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tu applioatfod Wow the some la be we and mrrroAll pmv.(taws and ordinwm pvcmina lhb work wit l be con,,hod with wherher spas, a
an. The permit dm not pia auifarity In viowe the previsions army other =tear tont low repulmfon eat—echo or the paw tmnMc arconswnlon.
'mperty Owners Name 12N 4c //t Z Phone Number /n0 %- 7d 9_1 a/1
4echanical Company "��'y� ��a Office Phone ��y�0 d Fax
:o. Address: �a // �l��Ju.✓ J /
Citya'� State/ -`—Zip -?Z,,-7
State Certifimtion/Registmtion #C�tc/1Y e �Y7
Cash Register Receipt Receipt Number
K
City of Atlantic Beach R5022
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $99.
ACRS18-0200 Address: 117 ARDELLA RD APN: 172153 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
ACANDREFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 27400 1 $2400
STATE SURCHARGES 54.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL• CY RECEIPT: R5022 $99.00
Date Paid: Thursday, May 10, 2018
Paid By: FLORIDA HOME AIR COND DBA ARS
Cashier: LE
Pay Method: CREDIT CARD 1
Printed: Thursday, May 10, 201810:49 AM 1 of 1 It
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