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710 TRITON RD - VENTS & FAN MECH rI _, CITY OF ATLANTIC BEACH `' °•p- s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 4o;tis) INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL HVAC - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACRS18-0320 Description: Bath Fan & Dryer Vent Estimated Value: 200 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 710 TRITON RD RE Number: 171339 0000 PROPERTY OWNER: Name: COOK AUSTIN M Address: 710 TRITON RD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: VIRIDIAN BUILDERS CORPORATION Address: 593 MARGARET ST NEPTUNE BEACH, FL 32266 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. Cash Register Receipt Receipt Number City of Atlantic Beach R5780 DESCRIPTION I ACCOUNT ( QTY I PAID PermitTRAK $59.00 ACRS18-0320 Address: 710 TRITON RD APN: 171339 0000 $59.00 MECHANICAL $55.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R5780 $59.00 Date Paid: Friday,July 20, 2018 Paid By: B &G PLUMBING, HEATING &AIR CONDITIONI Cashier: JDS Pay Method: CREDIT CARD 02410G Printed: Friday,July 20,2018 12:49 PM 1 of 1 �F TWIT MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 0(6 'Q 6( Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: 1 10 T R 11'0 N (Z,) PERMIT# ?f triS( ✓ 632.0 PROJECT VALUE $ 200 • 4° ARI# tJ f A REQUIRED Air Handling Equipment Only Air 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 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: \J r &AT1rk rwN Q- b¢y Z7:,R vE,t.5r 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 read this application and know the same to be tnie and correct. All provisions 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 other state or local law regulation construction or the performance of construction. Property Owners Name gu%t.oeR-PA0, WEsr Phone Number (02-b- ctoRo Mechanical Company a- G p(,n, t,..).„ , K t'S ar la t n, (-LA-Office Phone ZZ3 3 5&s Fax 9a t4'Z t'oto Co. Address: Z Z S Z o A("' INr Sc mkt g14i City J II k State F 1 Zip 3 2.1.\ k0 License Holder(Print): S 4-0T r Ma c - %N State Certification/Registration# GAcA s i L-1 1 Z3 Notarized Signature of License Holder —S — G All 44;....,, efore me this Z© da I. MINIIIA 1 MI TONT GISSION#ERGER '-' *� III; __ MY COMMISSION�FF 924951 � ; EXPIRES:October 6,2019 ignature of Notary Public 4,0;, Bonded Thru Notary public U n d erwriters