164 Sandy Beach Ln ACRS18-0347 HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
fit INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-SS14
PERMIT INFORMATION:
PERMIT NO: ACRS18-0347
Description: install 2-ton 24k-BTU AHU & 12K-CFM duct system
Estimated Value: 4962.5
Issue Date: 8/9/2018
Expiration Date: 2/5/2019
PROPERTY ADDRESS:
Address: 164 SANDY BEACH LN
RE Number: 1734140180
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY INC
Address: 797 MAYPORT RD
ATLANTIC BEACH, FIL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FLORIDA AIR SERVICE & ENG.LLC
Address: 150 Hilden Rd #308 QA JOSE FERNANDEZ
PONTE VEDRA, FL 32081
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 pen-nit, 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 pen-nits 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.
hig 08 2018 07:03AM HP FaxFAE 9048239995 page 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, F-L 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: PERMIT#
PROJECTVALUE $- qqm ,!5,0 ARI# 1��440 REQU7RED
Air Handling Equipment Only _-_k/Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Coriditioning: Unit Quantity I Tons Per Unit -�9-
Heat: UnitQuantity— BTU's Per Unit—017� SeerRatinL,
Duct Systems: Total CFM —19L REQ
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systums: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler Systern Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity- (Requires 3 sets of plans)
Underground Fire Main Value ( equires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hood5 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.,
ed or abandoned forsix months.I hereby certify that I have read
Pernlit becomes void if"rk does not commence within a six m*nth period or work is suspend I
this application and know the same to be true and correct. All pro visions of laws and ordi muicci go-voming th is work will be complied vAth whother specified or
on
not. 'ne permit does not give authorl violate th2 provisioj� �t any otherstate or local law regulation construction or the perfornianoe of oan8truction.
at
Phone Number
Property Owners Name Of
Mechanical Company xz4t 4��- ry 823-9696 Fax 823-9995
Office Phone
Co.Address: 150 HILDEN RD 4308 City PONTE VEDRA State FL Zip 32091
License Holder(Print): - JOSE FER�LANDF,7, State Certification/Registration# CAC1813923
Notarized Signature of License Holder
ULAN H.PI�AYNE orc mc this j� day Of �n )G2
commialon#FF 899281
ember 1 1 2019�
t Ah nature of Notar Public
Explras November 11,2019 S Of
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Cash Register Receipt Receipt Number
City of Atlantic Beach R6011
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $476.00
ACRS18-0347 Address: 164 SANDY BEACH LN APN: 173414 0180 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $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
ACRS18-0348 Address: 168 SANDY BEACH LN APN: 173414 0175 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $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
ACRS18-0351 Address: 160 SANDY BEACH LN APN: 173414 0185 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
FURNACES AND HEATING 455-0000-322-1000 24000 $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
ACRS18-0352 Address: 156 SANDY BEACH LN APN: 173414 0190 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
Date Paid:Thursday, August 09, 2018
Paid By: BEACHES HABITAT FOR HUMANITY INC
Cashier: BA
Pay Method: CREDIT CARD 7
101%
Printed:Thursday,August 09,2018 3:14 PIVI 1 of 2
Cash Register Receipt Receipt Number
City of Atlantic Beach R6011
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $476.00
ACRS18-0352 Address: 156 SANDY BEACH LN APN: 173414 0190 $119.00
MECHANICAL $115.00
FURNACES AND HEATING 455-0000-322-1000 24000 $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: R6011 $476.00
CITY OF ATLANTIC BEACH
800 SEIVINCLE RD
ATLANTIC B:AC,FL 32233
14:59:27
CREDIT CARD
MC SALE
Card# XXXXxUXwZy
SEQ#: 6
Bkh;: 666
INVOICE 7
Approval Code: 058148
Entry Method: Mamal
Mode: OnIhe
Tax AmoLnt: $0.00
Cust Code:
Card Code: M
�d 'X
SALE AMOUNT 176
CUSTOMER COPY
Date Paid:Thursday, August 09, 2018
Paid By: BEACHES HABITAT FOR HUMANITY INC
Cashier: BA
Pay Method: CREDIT CARD 7
Printed:Thursday,August 09,2018 3:14 PM 2 of 2 Or