961 Atlantic Blvd HVAC permit %j-
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SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
yr ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL COMMERCIAL HVAC DETAILS PER BUILDING PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MCAC18-0008
Description: replace 4-ton 48K-BTU AHU
Estimated Value: 9342
Issue Date: 5/21/2018
Expiration Date: 11/17/2018
PROPERTY ADDRESS:
Address: 961 ATLANTIC BLVD
RE Number: 177602 0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE INC
Address: 1600 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CERTIFIED AIR CONTRACTORS, INC
Address: 4505 MARQUETTE AVE 13
JACKSONVILLE, FL 32210
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 h�L G C)O03
JOB ADDRESS: 961 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 PERMIT#
PROJECT VALUE$_9,342.00 ARI# 7599957 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 1 Tons Per Unit 4
Heat: Unit Quantity 1 BTU's Per Unit 12.0 KW Seer Rating 14
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:
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 hue 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 Regency Centers Ann Gallaher Phone Number 904-598-7710
Mechanical Company Certified Air Contractors Inc. Office Phone 904-389-7950 Fax 904-389-4925
Co. Address: 4.505 Marquette Avenue City Jacksonville e FL. Zip 32210
License Holder(Print): Wesley Wilson S at' 600ration#CMC1249700
'Voi der
DWI Notary Publica efore me this day of
CommissioMy Comm.Ex20aanaea tnro�gt, sgn. ignature of Notary Public Cx
RegisterCash Receipt
\ BeachCity of Atlantic
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $115.00
MCAC18-0008 Address: 961 ATLANTIC BLVD APN: 177602 0040 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL ' 11
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
05 212018 15:00:02
CREDIT CARD
MC SALE
Card XXXXXMXX3846
SEQ 8
Batch : 610
INVOICE 8
Approval Code; 02129G
Entry Method; Manual
Mode; Online
Tax Amount; $0,00
Card Code: M
SALE AMOUNT $1152
CUSTOMER COPY
Date Paid: Monday, May 21, 2018
Paid By: CERTIFIED AIR CONTRACTORS, INC
Cashier: BA
Pay Method: CREDIT CARD 8
/1
Printed: Monday, May 21,2018 3:01 PM 1 of 1 to
TMUT