2375 SEMINOLE RD - HVAC (--
'`_ v` CITY OF ATLANTIC BEACH
r . f 800 SEMINOLE ROAD
L)
ATLANTIC BEACH, FL 32233
\'"A 013 c.) INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0044
Description: HVAC - 1 A/C, 1 AHU, 2.5 TON
Estimated Value: 3952
Issue Date: 5/25/2018
Expiration Date: 11/21/2018
PROPERTY ADDRESS:
Address: 2375 SEMINOLE RD
RE Number: 168908 8510
PROPERTY OWNER:
Name: VAN CLEVE TRUST ET AL
Address: C/O ALAN WELDON
JACKSONVILLE, FL 32233-5971
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DEL-AIR HEATING A/C & REFR INC
Address: 531 CODISCO WAY
SANFORD, FL 32771
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 (n� f
4
OB ADDRESS 03 �i r\cAe.7c, PERMIT# ' 1. "� _���
-7
PROJECT VALUE$ 89 5 , Anti --i0(-1(4t REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
1EW 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
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit ,J l t
Heat: Unit Quantity l BTU's Per Unit Seer Rating `�"
Duct Systems: Total CFM REQUIRED
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
iLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
emit 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
its 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
Dt. The permit does not give authority�� __to__violate therprovisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name`4DZfk `f a` \ Q,1 e e- P one Number
v.l{Jc(.1 t' b • - = `
Mechanical CompanyK � f1r Office P •-� ' �x � i"'���
:o. Address: • ' ._ 0 . -ity 1.
A li
i,# State .rt., Zip .3D-1-.1
,icense Holder (Print): 6..i.- 0,- vL) " - S • Certi Ica •• 1 Registration # C' 3 411(
lotarized Signature of License Holder
1,k CHERYL D AKERS ref• - me this 194d., 4 f •IL_.._. 20 I3
sr a te:
MY COMMISSION#FF•*896
'",,•'�' EXPIRES June• , ' : •ignature of Notary Public $ 4�"r
(401)398-0153 FlondoNoarySO VIca coat
r "*e.aCash Register Receipt Receipt Number
Lt
fa
City of Atlantic Beach R5180
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $99.00
ACRS18-0044 Address: 2375 SEMINOLE RD APN: 168908 8510 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R5180 $99.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
05'25,2018 16:09:51
CREDIT CARD
MC SALE
Card# XXXXXXXXXXXX1147
SEQ;: 4
Batch;: 614
INVOICE 5
Approval Code: 063225
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $99,00
CUSTOMER COPY
Date Paid: Friday, May 25, 2018
Paid By: DEL-AIR HEATING A/C& REFR INC
Cashier: BA
Pay Method: CREDIT CARD 5
Printed: Friday, May 25,2018 4:11 PM 1 of 1 ir
�n�o,