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168 Sandy Beach Ln ACRS18-0348 HVAC permit 4u, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL HVAC - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACRS18-0348 Description: new attached single-family Estimated Value: 4625 Issue Date: 8/9/2018 Expiration Date: 2/5/2019 PROPERTY ADDRESS: Address: 168 SANDY BEACH LN RE Number: 1734140175 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 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. Aig 08 2018 07:03AM HP FaxFAE 9048239995 page 2 MECHANICAL PERMIT APPLICATION CIT Y OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, �L 32233 Ph (904) 247-5826 Fax (904) 247-5845 Joj3 ADDRESS: —PERMIT# 3yf PROJECT VALUE $ Jo ARI 4 REQUIRED Air Handling Equipment Only _ZAir Handling Unit& Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity I BTU's Per Unit Seer Rating Duct Systems: Total CPM id-OT REQUIRED REPLACEMENT 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 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 F-levators/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 4�x 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 he complied with whothcr specified or noL The pennit does not give atith Vio isiongotlany other or local law regulation construction or the performance of construtction. I SA io, Phone N umber PrDperty owners Name. tte� .- - Mechanical Company __Pffice Phone 823-9696 Fax 823-9995 Co.Address: 150 HILDEN RD 4308 city PONTE VEDRA State FL Zip 32081 License Holder(Print): JOSE FERNANDEZ State Ccrtification/Registration # CAC1813923 Notarized Signature of License Holder 061h LILLIAN H.PARE - ---- formcthis 1�e day of f Commlsslm#FF 899281 ExpkuNovemberii,2019 S atureofNotar Public 99WW TIVU Twi Ft"tm"V"M366-WI Cash Register Receipt Receipt Number City of Atlantic Beach R6011 DESCRIPTION ACCOUNT Cay 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 T 455-0000-322-1000 F 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 0011% Printed:Thursday,August 09,2018 3:14 PM 1 of 2 lip YN-07 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 7 24000 T $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 1 0 1 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 1 0 1 $2.00 TOTAL FEES PAID BY RECEIPT: R6011 $476.00 CITY OF ATLANTIC BEACH 800 SEIvINOLE RD ATLANTIC BEAC,FL 32233 )018 14:59:27 CREDIT CARD MC SALE Card XXXXXUWAX56Y SEQ 6 Bath 666 INVOICE 7 Approval Code: 058148 Entry Method: Manual Mode: Online Tax Amount: $02 Cust Code: Card Code: M SAIE AMOUNT �762 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 It