1645 MARITIME OAK DR - HVAC Y 411.= CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J yr ATLANTIC BEACH, FL 32233
4o;319 . INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0322
Description: 4 Ton 48K HVAC Unit
Estimated Value: 9745
Issue Date: 7/23/2018
Expiration Date: 1/19/2019
PROPERTY ADDRESS:
Address: 1645 MARITIME OAK DR
RE Number: 169505 1995
PROPERTY OWNER:
Name: Riverside Homes of North Florida
Address: 414 OLD HARD RD STE 502MATTHEW ROBERTS
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 /fr,/LS l/ik" . 60
JOB ADDRESS: /( t.1 y'_r; ,, Ok iPERMIT#R I d OiDe0
PROJECT VALUE$ I I y� 0-0
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unitc—
Heat: Unit Quantity I BTU's Per Unit DO Seer Rating � ----/
Duct Systems: Total CFM /400 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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 Qrantity _ (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:
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 true 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_
th
Property Owners Name 'fC iV evvS, dit tltlQ r,e s Phone Number�� - 7 a16
Mechanical Company AI C 1'nnLt,s firs l iii!-C .J-,, c Office Phone=P9r Fax-7c).-.)--??g y
LOS
Co. Address: ` S I Ver c -c 306 City J --maks',)4 , )1 t State Zip 111--
License Holder(Print): Ciu r 1ti. �, b �d:t��ertification/Registration# C/-''( I b 1.3335'/
r
Notarized Signature of License Holder 1 >>n --� F
Sworn and subscribed before meds �V da J u ( 20 !�
DEBRA ANN HOISINGTON ( �
A,_r
Signature of Notary Public Lam= ti ' -"
MY COMMISSION r OG031924
, EXPIRES Oelob•r 15,2020
(--
S v\l'f r
J=, CITY OF ATLANTIC BEACH
1 � _ j,.' 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
`�,3i> INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0323
Description: 4 Ton 48K BTU HVAC Unit
Estimated Value: 9745
Issue Date: 7/23/2018
Expiration Date: 1/19/2019
PROPERTY ADDRESS:
Address: 1651 MARITIME OAK DR
RE Number: 169505 2000
PROPERTY OWNER:
Name: Riverside Homes of North Florida
Address: 414 OLD HARD RD STE 502MATTHEW ROBERTS
ORANGE PARK, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name:
Address:
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 /�
Ph(904)247-5826 Fax(904)247-5845 F\25 g I O3 23
JOB ADDRESS: / / /7(--21-v i T i m c. OL ),-,.../`
d.. PERMIT# ec'S J i' 6060
____,
PROJECT VALUE$ q' 43
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit iip
Heat: Unit Quantity / BTU's Per Unit id Seer Rating /
Duct Systems: Total CFM /600 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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:
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 true 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 pro isions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Uars,A e i w,es Phone Number 6Q 17 0...5-
Mechanical
Mechanical Company 4 ) C PL4 WA--e-,/ 4'� c Office Phone )c i--i Fax 7 �y
J
Co. Address: l 7..5 �t��r_ScvL, / 4 a I SI•�.i It, 3 0 City :)c'1:son,i, )1- State YL Zip s
License Holder(Print): C/ , i-a .f � �; • - i cation/Registration#elk/
Notarized Signature of License Holder / 4 '
Sworn and subscribed before m ,' J-U day • 4. 20 q
lit'". DEBRA ANN HOISINGTON
.,fir•
Signature of Notary Public_ PL..
,
MY COMMISSION 0GG031925 I
:'•i` :
• •: EXPIRES October 15,2020
jls
Cash Register Receipt Receipt Number
5111. City of Atlantic Beach R5796
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $270.00
ACRS18-0322 Address: 1645 MARITIME OAK DR APN: 169505 1995 $135.00
MECHANICAL $131.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1600 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS18-0323 Address: 1651 MARITIME OAK DR APN: 169505 2000 $135.00
MECHANICAL $131.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
AIR DUCT SYSTEM 455-0000-322-1000 1600 $20.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
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: R5796 $270.00
CITY OF ATLANTIC BEACH
800 SEN:INOLE RD
ATLANTIC BEAC,FL 32233
07/23,2018 10:33:13
CREDIT CARD
MC SALE
Card r XXXXXXXXXXXX9016
SEQ n: 2
Batch s: 653
INVOICE 2
Approval Code: 02443G
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Date Paid: Monday,July 23, 2018
Paid By: Riverside Homes of North Florid SALE AMOUNT $270.0)
Cashier: BA
Pay Method: CREDIT CARD 2 CUSTOMER COPY
Printed: Monday,July 23,2018 10:35 AM _ —
TRAM'