1672 Atlantic Beach Dr ACRS18-0269 HVAC permit I' ll St CITY OF ATLANTIC BEACH
� 4 0 800 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: ACRS18-0269
Description: intall 2-ton 24K-BTU & 3.5-ton 42K-BTU AHLIs &2.2K CFM duct
Estimated Value: 11900
Issue Date: 6/21/2018
Expiration Date: 12/18/2018
PROPERTY ADDRESS:
Address: 1672 ATLANTIC BEACH DR
RE Number: 169505 1725
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502
ORANGE PARK, FL 32003
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233 A-C� S C 1)
Ph(904)247-5826 F 04)247-5945
JoD Awmns: PERMFr It
PROJECTVALUE$
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1) — Tons Per Unit � �3,5-
Heat: Unit Quantity .2 BTU's Per UniOYPILLq.� 10D Seer Rating
Duct Systems: TotalC*FM -UR V REQULIZED
REPLACEMENT AIR CONDMONING & BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit ARI#REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating_
Duct Systems: Total CFM REQUDZED
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 Qty_ Automobile Lifts
Gas Piping Outlets Boilers
Elevator&T-walators
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 sbc nioiittm I hereby certify that I have read
this application and know the same to be true and correct AR provisions of laws and ordinances governing thiswoTk will be complied with whether specified
or not The permit does not give autbority tD violate the p visions of any other state or local law regulation construction or the p;rfbrniancc of construction.
Property Owners Name Phone Number
Mechanical Company A-)C K., -7
i4ts Office Phone Z-f9�fax 7J,�-P�
�-esc,, 3-
Co.Address: city 0A,)JI4 State F�- Zip 3,��
License Holder(Print): CL,I,-s S on/Re on 9 /3
gistrati
Notarized Signature of License Holder
Sworn and subscribed before m. e,
tary
DEBRA ANN HOISINGTON SignatureofN0 public
my COMMISStON 0 GG031926
F_xPIREr,omb.15,2020
Receipt Number
Cash Register Receipt
City of Atlantic Beach R5440
DESCRIPTION ACCOUNT QTY PAID
PerrnitTRAK $155.27
ACRS18-0269 Address: 1672 ATLANTIC BEACH DR APN: 169505 1725 $155.27
MECHANICAL $151.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $40.00
FURNACES AND HEATING 455-0000-322-1000 66000 $28.00
AIR DUCT SYSTEM 455-0000-322-1000 2200 $28.00
STATE SURCHARGES $4.27
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.27
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R5440 $155.27
CITY OF ARANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
06/21/2018 10:49:28
CREDIT CARD
VIC SALE
Card XXXXXXXXXXXX9016
SEQ 4
B&h 632
INVOICE 4
Approval Code: 09371G
Enty Method: Maui
Mode: Online
Tax Amount: $0,00
Card Code: M
SA[E AMOUNT $155.27
CUSTOMER COPY
Date Paid:Thursday,June 21, 2018
Paid By:A/C MASTERS HVAC INC
Cashier: BA
Pay Method: CREDIT CARD 4
Printed:Thursday,June 21,2018 10:50 AM 1 of I