89 Nicole ACRS18-0314 Cash Register Receipt
7� 7 City of Atlantic Beach R5657
__$�107.00
00
$10�PermitTRAK $107.00
ACRS18-0314 Address: 89 NICOLE LN APN: 169519 0840 .A$103.OD
MECHANICA1. $55.00
MECHANICALEASE FEE 455-0000-322-1000 0
AC AND REFRIGERATION 455-OD00-322-1000 1 3 1 $24.DO
- ---- --- -- !2 $24.00
FURNACeS MKATINC $4.00
STATE SURCHAR(am 0 $9 on
7STATE DBPR SURCHARGE -
n
72i -NONE
mir-1141M. $107.00
TOTAL FEES PAID BY RECEIPT: R5657
CITY OF ATLANTIC BEACH
800 SEN:INU RD
ATLANTIC BEAC,FL 32233
07/16/2018 013:29:29
CREDIT CARD
VISA SALE
Card# X=VXXX3082
SEQ 4: 3
Bkh#: 648
IWOICE 3
Approval Code: 076716
mHem: mmi
Mode: Onlkv
Tax krourt $0.00
Card Code: m
SAUE AMOUNT $1071
CUSTOHER COPY
Date Paid: Monday,July 16, 2018
Paid By: DONOVAN HEATING&AIR
Cashier: BA
Pay Method:CREDIT CARD 3
Printed:Monday,July 16,2018 8:30AM 1 Of 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NE)lT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0314
Description: (2) 1.6 Ton 17.6 BTU HVAC Units
Estimated value: 7000
Issue Date: 7/16/2018
Expiration Date: 1/12/2019
PROPERTY ADDRESS:
Address: 89 NICOLE LN
RE Number: 1695190840
PROPERTY OWNER:
Name: WILLIS JOHN R III
Address: 89 NICOLE LN
ATLANTIC BEACH, FIL 32233-5979
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name; DONOVAN HEATING &AIR
Address: 315 6th Ave S
JACKSONVILLE BEACH, FIL 32250
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 fmmd in die public records of this county,arid 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.
INVOICE #
City of Atlantic Beach
INV-4840
800 Seminole Road Date Due: 8/12/2018
Atlantic Beach, FL, 32233
C �
ctun
DONOVAN HEATING&AIR
315 6th Ave S
JACKSONVILLE BEACH,FIL 32250
Invoice Date:7/13/2018
Record# Record Type Fee Group Fee Deuription Quantity Arnount
ACIRS18,0314 MECHANICAL RESIDENTIAL MECHANICAL AC AND REFRIGERATION'3S,4D.
HVAC
FURNACES AND HEATING 2 $24.00
MECHANICAL BASE FEE 0 $S5.00
STATE SURCHARGES STATE DEIPR SURCHARGE 0 $2.OD
STATE DCA SURCHARGE 0 $2.00
$107.0
I"u.ice Total-$107.00
Please send your payment to this address:
Printed:Friday,July 13,2018 4:28 PM 1 of 1
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