231 Seminole ACRS18-0333 n
Cash Register Receipt Receipt Number
City of Atlantic Beach R5887
x01'
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $99.00
ACRS18-0333 Address: 231 SEMINOLE RD APN: 1705260000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 27800 $24.00
STATESURCHARGES $4'00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL • BY RECEIPT, R5887 $99.00
CITY OF ATLANTIC BEACH
810 SEMINOIE RD
ATLANTIC BEAC,R 37233
01131/2018 11:51:23
CREDIT CARD
VISA SALE
Cad 4 XXXXx"XXW2%
SEQ#: 5
Batch C 899
INVOICE 7
Approval Code: 035111
Entry*W: Manual
Mode: Onint
Tax Amant $0.00
Card Code: M
SALE AMOUNT $99.00
CUSTOMER COPY
Date Paid:Tuesday,July 31, 2018
Paid By: Elite AC, LLC
Cashier:CB
Pay Method: CREDIT CARD 035111
Printed:Tuesday,July 31,2018 11:52 AM 1 of 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
"may" INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NE)I T DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0333
Description: 2.5 ton 27.8K Change Out
Estimated Value: 3600
Issue Date: 7/31/2018
Expiration Date: 1/27/2019
PROPERTY ADDRESS:
Address: 231 SEMINOLE RD
RE Number. 170526 0000
PROPERTY OWNER:
Name: MOUNT RICHARD S
Add, : 231 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4142
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Elite AC, LLC
Address: 10150 Belle Rive BLVD#1407
JACKSONVILLE, FL 32256
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 a encies, 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.
i
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 201 t%ti ii nnlC 'GU d PiAoin h C, 5M ,2,2233 PERMIT S "0
PROJECTVALUES A'RI# '?°I'15113 REQ RED
_Air Handling Equipment Only _Air Handling Unit& Condenser _Co denser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit I
Heat: Unit QuantityBTUs Per Unit Seer Rating
Duct Systems: Total CFM itE RED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATI N
Air Conditioning: Unit Quantity i_ Tons Per Unit 2 ' 5
Heat: Unit Quantity I_ BTU's Per Unit•L,TDO Seer Ratin
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 sen 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 Outten Boilers BTU _
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(gallnos)
1 Wells
I�
OTHER: zt &\q bu� �:Iawolm 1 fiPiU��h11�Jly
Penoitbecomes void ifwodc does not wrmnence within a six month period orwork is suspended or abandoned for six months,)berel, eertify that l have teed
Mus apphction end knew the same to be tote and correct. All poviaioos of leas and osdimnca govvoing this work will be wmplied lith wheMsr specified or
not. The permit does ant give authority to violate
tthe promotions of onr cher stat,or local law regulation wnatruaion or Me perfomun ofconstructron.
Owners Property NamelmuclarMAlin� pPhone Number -F
Mechanical Company 7A&t h-t la.t7. OfFice Phone'3 ,{k1011 Fqz 9."ZV- 5c1
11 I
Co.Address: PA City .101 IttyVniffilL State Zip 32 5(O
License Holder(Print) r't7 c: �il� State Q atification/Registration#
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. MY cosews-aiou+prssse efore me this day of 0 Z '
EXPIRES January Jt.20211 / nW,,,,�
ignatureofNotary Public Va