2015 VELA NORTE CIR - PERMIT ACRS18-0221 1
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J CITY OF.ATLANTIC BEACH
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: ACRS18-0221
Description: HVAC- 1 A/C, 1 AHU, 3 TON
Estimated Value: 6150
Issue Date: 5/22/2018
Expiration Date: 11/18/2018
PROPERTY ADDRESS:
Address: 2015 VELA NORTE CIR
RE Number: 169506 1108
PROPERTY OWNER:
Name: CLARKSON JORDAN
Address: 2015 VELA NORTE CIR
ATLANTIC BEACH, FL 32233-4533
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 n
'Ph(904)�6�,4
247-5826 Fax(904)247-58.45
JOB.ADDRESs:__ c)0)Jr Vejc. . C; l e
PERMiT
PROJECT VALUED,
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 INSTALL TI
ARI#_7A.
Air Conditioning: Unit Quantity Tons Per Unit REQUIRE
Heat: Unit.Quantity 1 BTU's Per Unit Seer Ratin .
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)
FIORE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile 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 rend
this application and know the same to be true and eorrect All provkions 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 o 'er state or local law regulation construction or the performance of construction.
Property Owners Name J o r � �c►(�e C L✓G'so n PhondNumber
Mechanical CompanyA J� l�t�u s t e,-s �i'U� ��,c -Office Phone� -ni- rFax
`/
Co.Address: `7 ;ese,, Sk k 30 City a.e-�xy.�.v�X State rt Zip 31)0
License Holder(Print): Ci r c' J, PcState. rti _ e 'station#
Notarized Signature of License Holder
DEBRA ANN HOiSINGTON Sworn andsubscribedbefore rrmthia f` y 20
nmrcdru+IUltssloN oou31o2e Signature.of Notary Public
1EXPIRES October 15.2020
r�
r Cash
Y := City of Beach R5136
DESCRIPTION ACCOUNTQTY PAID
Per,11,
$107.00
ACRS18-0221 Address: 2015 VELA NORTE CIR APN: 1695061108 $107.00
-MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES -. $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 1 $2.00
STATE DCA SURCHARGE 45500002080700 1 0 $2.00
'TOTAL
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
1:15/22y,2018 11:04:37
CREDIT CARD
MC SALE
,.ARD# XXXXXXXXXXXX9016
:INVOICE 0002
0002
Batch#; 000803
approval Code; 02767G
I:nby Method; Manual
Mode: Online
Tax Amount: $0.00
�"ard Code: M
'aA[ AMOUNT $101,00
CUSTOMER COPY
Date Paid:Tuesday, May 22, 2018
Paid By: A/C MASTERS HVAC INC
Cashier: CB
Pay Method: CREDIT CARD 02767g
Printed:Tuesday,May 22,2018 11:06 AM 1 of 1 jP
mar