160 Belvedere ACRS18-0344 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL 13Y 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0344
Description: replace 2-ton 23.2K-BTU AHU
Estimated Value: 3600
Issue Date: 8/6/2018
Expiration Date: 2/2/2019
PROPERTY ADDRESS:
Addresie: 160 BELVEDERE ST
RENumber: 1705770300
PROPERTYOWNER:
Name: Kerins Ellen M
Add ress: 160 BELVEDERE ST
ATLANTIC BEACH, FL 32233
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,them my be additional restrictions
applicable to this property that my be found in the public records of this county, and there may
be additional perotits 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.
MxcHANjcAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5426 Fax(904)247-5945
joBADDREss: boo Owxdgj�(. r.�-- ft"ct-r)�ie, aeow PERMff A e 4S 1 VW4V
PROJECTVALUES �)W)0-00 AIt1# ?ott4Z(011� REQE�W)
__,MrffandUng Equipment Only _ZAir Handling Unit & Condenser _Co desuserOully
NEW AIR CONDITIONING&HEATING SYSTFM INSTALLATION
Air Condinon%g- Unit Quantity— Tons Per Unit
Heat: Uni(Quanfity--- BTU,sperunit— Seff Ila
Duct sysscins Iroul cvm Imp INE
REPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATI N
AirConditiorting: UrutQuantity I Tons Per Unit -A
Hem: Unit Quantity t BTU's Per Unit S�Rahrtg__ I'S
DuctSysuents: Total CFM REqUIA LID
FIRE PREVENTION I
fire Sprinkler System Quantity (Requires 3 sets of plans) I
Fire Standpepe Quantity (Requires 3 sets of plan,) I
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hrese Cabinels Quantity
Commercial Hoods (Requires 3 sets of plans)
Quantity (Requires3 seft,of plans)
Fire Suppression System Quantity (Requires 3 sent of plans)
FIRE PLACES NUSCFLLANFAIUS,.
Prebbricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
El"atom'Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets P=PS
#Vented Wall Furnaces Rcftigenaw Condenser aws
#Water Heathm, Solar Colle tior, Systems
CUM
TWA&(80.)
Wells
OTHER- Ct"ftllk Cic,1W01,41 k5fT2018M
Penzat bmarnes md 6,es ses sit,es"pwWw we*is seupid�.but&,eh,!W six.1b.,I bereby temly fut I ha�
7'"e
W�.Udtaeity.�w the,�..fany.tbcrsneee.,Ice.1 U. the
WopertyOwneraName M�CYWM �khf-)S —Pit.Nber OW �14 61414
Mechanical company 0104
iWice Phone&��'4(9 11_F4—
I
Co. Addition: 5 bV5 ?)qf9Q&'WG city OaCr4al,41% State Z�I alb(f
License,ffotd�(Prf Stsuej>itifleanan/Relpstration trim
;4k',N- MARISOL RAMIREZ fore me this day of
1F95,,8jji ture of Notary Public
Cash Register Receipt Receipt Numbe
CA City of Atlantic Beach R5945
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $99.00
ACRS18-0344 Address: 160 BELVEDERE ST APN: 170577 0300 $99.00
MECHANICAL $95.00
MECHANICAL BASE rEE 000-322-1000 0 $55.00
AC AND REFRIGERATION :52!N000
FURNACES AND HEATING 000-322-1000 23200 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 415 1;0D 08-0700 o $2.00
STATE DCA SURCHARGE W 208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R5945 $99.00
Date Paid: Monday,August 06, 2018
Paid By: Elite AC, U-C
Cashier: CB
Pay Method:CREDIT CARD 031812
Printed:Monday,August 06,2018 12:22 PM 10IF1