867 Ocean Blvd ACRS18-0268 HVAC permit 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-SS14
PERMIT INFORMATION:
PERMIT NO: ACRS18-0268
Description: replace 1.5-ton 17.5K-BTU AHU
Estimated Value: 3918.98
Issue Date: 6/20/2018
Expiration Date: 12/17/2018
PROPERTY ADDRESS:
Address: 867 OCEAN BLVD
RE Number: 170236 0012
PROPERTY OWNER:
Name: FRIEDLIN MELINDA J
Address: 867 OCEAN BV
ATLANTIC BEACH, FL 32233-5429
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: WEATHER ENGINEERS INC.
Address: 1000 N EDISON AVE QA JAMES DANIEL GRIFFIN, JR
JACKSONVILLE, FL 32204
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 A (L S
.TOB ADDRESS: Y 7 Ccr ,61J PERMIT# U
PROJECT VALUE $ �3 9Is---/ItS� ARI# 36 7/C1 -/S--' REQUIRED
AirAir Handling Equipment Only 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.—� Tons Per Unit
Heat: Unit Quantity BTU's Per Unit C7C� Seer Rating
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:
?ermit 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
his 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
lot. The permit does not give authority to violate the provisions 9f any other state or local law regulation construction or the performance of construction.
3roperty Owners Name i i dle Phone Numbe& -4o"W a 32—,�7
vlechanical Company �' Office Phona - 3 C1 Fax 5-3
f
�o. Address: loon G�i:Sc.-� ke� City State F/- Zip X2041
.icense Holder(Print): L)AyA-5 60 State Certification/Registration#
Votarized Signature of License Holder
aV.r. Nobry Public sbsee Of Fbriaa Before me this 4–day o0.
June M Powen
V
My Commission FF 135701
an
Expires 0&2412016 Signature of Notary Public �—
s�i.:L�1fi
J
Cash Register Receipt Receipt Number
City of Atlantic Beach
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $91.00
ACRS18-0268 Address: 867 OCEAN BLVD APN: 170236 0012 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $8.00
FURNACES AND HEATING 455-0000-322-1000 17500 $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 • • R5425 11
Date Paid: Wednesday, June 20, 2018
Paid By: WEATHER ENGINEERS INC.
Cashier: CB
Pay Method: CREDIT CARD 06101g
's
Printed:Wednesday,June 20,2018 3:16 PM 1 of 1 �
TROMT