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2316 Beachcomber ACRS18-0342 Cash Register Receipt 1Number City of Atlantic Beach R5921n DESCRIPTION ACCOUNTCITY PAID PermitTRAK $99.00 ACRS18-0342 Address: 2316 BEACHCOMBER TR APN: 169463 0068 $99.00 MECHANICAL $95.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0004322-1000 12 $16.00 FU RNACES AND HEATI NG 455-0004322-1000 1 23800 $24.00 STATE SURCHARGES $4,00 STATE DBPR SURCHARGE 455-0004208-0700 0 $2.00 STATE DCA SURCHARGE 455-MO-208-0600 0 $2.00 TOTAL • 11 CITY OF ATLANTIC BEACH ODD SEMINOLE RD ATLANTIC BEAC,R 32233 08103/2018 D922:48 CREDIT CARD NSA SALE Cada XXXgCO MY.5071 SEQ a: 2 Batch a: 662 INVOICE 2 Approval Code: 296688 BP Method: Manuel Mode: 0*9 Tax Amnt: $0.00 Cad Cad: M SALE AMOUNT 02 CUSTOMER COPY Date Paid: Friday,August 03, 2018 Paid By: ESTES HEATING &AIR, INC. Cashier: BA Pay Method:CREDIT CARD 2 Printed:Friday,August 03,2018 9:23 AM 1 of 1 Ir nm CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 a p INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL HVAC - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACRS18-0342 Description: replace 2-ton 23.8K-BTU AHU Estimated Value: 5297 Issue Date: 8/3/2018 Expiration Date: 1/30/2019 PROPERTY ADDRESS: Address: 2316 BEACHCOMBER TR RE Number: 169463 0068 PROPERTY OWNER: Name: ADAMEC CHRIS R Address: 2316 BEACHCOMBER TRL ATLANTIC BEACH, FL 32233-6607 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: ESTES HEATING &AIR, INC. Address: 1954 Southside Boulevard QA DAVID WAYNE ESTES Jacksonville, FL 32216 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 Jos ADDREss: ppCh(`aMho r 1( k PERMfr# PROJECT VALUE S �I—7 ARI# 292 2)53-7 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 QuantityTons Per Unit 2. Heat: Unit Quantity BTU's Per Unit Seer Ratimt 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/Escalatom ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrierator Condenser BTU's #Water Heaters Solar Collection Systems Tanks(gallons) Wells OTHER: Permit becomes void if work doer rot commesree within a six month period or work is suspended or abandoned for six months,l hereby cerd that I have read Us application and know the same to be true and coned. 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 regulegon construction o the performmance ofconsWclian. Property Owners Name(1[-i-� k6XnAL�C fl Phone Number IN �77 A151 Mechanical Com p-*a_S kn sk,rQ 9o9z91y1z7 x1L1/'.f19'L p�an'gt r- t rsA'In4 Office Phone - _ Co. Address: 1R 3pu&hSi�� I d Citv;tpNrntills State ee zp5zk,7 License Holder(Print):/ _� State Certification/Registration# CAC65(a/al Norar' a Sirnolure of LieenseHo er La�KNEE MEDLIN /¢e��4Q��',,, NmNyfaair-sm<moww, efore me Uds �1 dayof �ti5� Z 20 aigr Is COIeRJNer4wial9'�o UA Mrtam.E.or<rr<nm.mo: ignature of Notary Public W: • ��1<�+a-�� 8endte 1Npgn buanrl Nolen Nr•.