264 OCEAN BLVD - PERMIT ACRS18-0223 S's- _`� CITY OF ATLANTIC BEACH
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1 - 800 SEMINOLE ROAD
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= ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-58.14. .
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO:- ACRS18-0223
Description: install two 3-ton 36K-BTU AHUs &2.4K CFM duct system
Estimated Value: 17800
Issue Date: 5/22/2018
Expiration Date: 11/18/2018
PROPERTY ADDRESS:
Address: 264 OCEAN BLVD
RE Number: 170199 0040
PROPERTY OWNER:
Name: Andy Reynolds Homes Inc.
Address: 2950 Halcyon Lane
Jacksonville, FL 32233
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$7,500.
MECHANICAL PERMIT APPLICATION;
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic.Beach,FL 32233
Ph(904).247-5826 Fax(904)247-5845
Jos ADDI1-sS: l� O C ea 11 3/0 PE-RM t# RES17--0�9�
PROJECT VALUE$_
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity - Tons Per Unit .3 -7
Heat: Unit Quantity�2 _ BTU's Per Unit� Seer Rating
Duct Systems: Total CFM Jq6 REQUMED
.REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION
AU#
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 Sprirdder System Quantity (Regi dres 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 sox months.I hereby certify that 1 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 Al 114 IL � s Phone Number
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Mechanical Company n Office Phone ' -� ,-' Fax 7 J-1 y
It"�C ����' J I�/ !�- �-�1----- _
Co.Address:. `? �rz-c�� �.�� Sw, .3t7�i City State -L Zip - �� :5
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License Holder(Print); Gest r tat n/Registration# ACED-M
Notarized Signature of Lkense Holder
Sworn and subscribed before 's o6c da 20i U-
AN, DEBRA ANN HOISINGTON .Signature of Notary Public ~
%I ,•e MY commissimo GG03 we
t, EXPIRES Oetoba 1 S,2020
Cash Register Receipt Receipt Number
ofAtlanticBeach
DESCRIPTION • QTY PAID
PermitTRAK $163.39
ACRS18-0223 Address: 264 OCEAN BLVD APN: 170199 0040 $163.39
MECHANICAL $159.00
AC AND REFRIGERATION 455-0000-322-1000 6 $48.00
AIR DUCT SYSTEM 455-0000-322-1000 2400 $28.00
FURNACES AND HEATING 455-0000-322-1000 72000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES. - $4.39
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.39
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTALR5140 $163.39
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
05/22/2018 13:34:16
CREDIT CARD
MC SALE
Card# XXXXXXXXXXI(X9016
SEQ#: 5
Bath#: 611
INVOICE 5
Approval Code: 07894G
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE AMOUNT $163.39
CUSTOMER COPY
Date Paid:Tuesday, May 22, 2018
Paid By:A/C MASTERS HVAC INC
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Tuesday,May 22,2018 1:36 PM 1 of 1 jP
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