156 Sandy Beach Ln ACRS18-0352 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: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0352
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: 156 SANDY BEACH LN
RE Number: 1734140190
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY INC
Address: 797 MAYPORT RD
ATLANTIC BEACH, FL 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 4
MECHANICAL PERMIT APPLiCATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, VL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: �61 PERMff#.Ac
PROJECT VALUE ARI q1 1-4 i.,q 0 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 1,15
DuctSystems: Total CFM _127�U— At Seer Rating REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning; Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systcrns: Total CFM RE—TU—IRED
FIRE PREVENTION
Fire Sprinkler Systern 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 (Requir
Commercial Hoods Qua tity es 3 sets of plans)
(Requires 3 sets of plans)
Fire Suppression Systems QU tity (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 neat Fxrhanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser 13TUs
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Parnlit becomes void if work does not commence wiqiin a six month period or wodc is suspended or abandoned fbr six months,I hereby oerti fy that I have read
this application and know the same to be"e and correct. All Provisions of laws and ordinuces gDvcming this work Y411 be conVIied with whedler specified or
not. The permit does not give awk tyto violate thepro, isf Oils of any other state or local law resulation construction or the porlibmiance of Construction.
Property Owners Name fv�lrtk-
T661C Phone Number
Mechanical Company & -,L. Ivr Iry Office Phone 823-9696 Fax 823-9995
Co. Address: 150 HILDEN RD#308 Citv PONTE VEDRA State FL Zip 32081
License Holder(Print): JOSE FERNANDEZ State Certification/Registration –CAC 1813923
Notarized Signature of License Holder
fore me thiQ (,�2 day of 20 /jig
LILLIAN H.PAYNE
Oomirfalon#FF 899281
Explm November 11.2019 S nature of Notar Public
Q
kmWo TNu Tmy FWn mwwwa*NO-MG-7011
Cash Register Receipt Receipt Number
City of Atlantic Beach R6011
DESCRIPTION ACCOUNT CITY PAID
PermitTRA $476.00
ACRS18-0347 Address: 164 SANDY BEACH LN APN: 173414 0180 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 45S-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
STATESURCHARGES $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
000%
Printed:Thursday,August 09,2018 3:14 PM 1 of 2 11;
Cash Register Receipt Receipt Number
City of Atlantic Beach R6011
DESCRIPTION ACCOUNT CITY 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 SENINOLE RD
ATLANTIC B:AC,Fl.32233
14:59:27
CREDIT CARD
MC SALE
Card XXXXXMWAW53'
SEQ 6
Balrh 666
INVOICE 7
Approval Code: 058148
Ent�Whod: mml
Mode: Online
Tax Arnount: $0.00
Cust Code:
Card Code: m
SAIE AMOUNT yul 76,X
CUSTMER 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