364 7th ACRS18-0355 » Cash R. Receipt Receipt Number
City
Atlantic Beach R6016
•xa
DESCRIPTION
PermitTRAK $111.00
ACRS18-0355 Address: 3647TH ST APN: 1699010000 $111.00
MECHANICAL $107.00
MECHANICAL BASE FEE 455-0000.322-1000 0 $55.00
AC AND REFRIGERATION 455-0000.322-1000 2 $8.00
- AIR DUCT SYSTEM 45MOIJ-322-1000 600 $20.00
FURNACES AND HEATING 455-0000-322-1000 18000 $24.00
STATE SURCHARGES x'00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL • BY RECEIPT: R6016 $111.00
CITY DF ATIANTIC BEACH
BDO SENINOLE RD
ATIAMIC BEAC,R 32233
08,1012018 11:14:40
CREDIT CARD
VISA SALE
Card# XknggCOC495B2
SEQ#: 6
W#: 667
IWOICE 6
typmval Cade: 032106
Enry NeW marwal
Node: ONiE
Tax kwdn $0.00
Card Code: H
SALE AMOUNT $111,W
CUSTOHER COPY
Date Paid: Friday,August 30, 2018
Paid By:CREEKS AIR CONDITIONING& HEATING
Cashier: BA
Pay Method:CREDIT CARD 6
Printed: Friday,August 10,201811:15 AM 1 of 1
nm
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEICT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0355
Description: 1.5 Ton 18K BTU HVAC w/Ductwork
Estimated Value: 10078
Issue Date: 8/10/2018
Expiration Date: 2/8/2019
PROPERTY ADDRESS:
Address: 364 7TH ST
RE Number: 169901 0000
PROPERTY OWNER:
Name: NOVAK EMILY E
Address: 364 7TH ST
ATLANTIC BEACH, FL 32233-5434
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CREEKS AIR CONDITIONING & HEATING
Address: 51 HUDSON WAY
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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH f
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 yr�},
JoBADDRFss: tau. -' 9fl, wj-,P-+ k--Hanf-IG °� II PERmir#±LK IM-'z55
PROJECTVALUES 10 , 0M ioV ARI#- AgSp33_REQu RED
_Air Handling Equipment Only J Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unit 1 5 i
Heat: Unit Quantity BTU's Per Unit 1&,n Seer Ratin I
Duct Systems: Total CFM REQg RED
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) k
Commercial Hoods Quantity (Requires 3 sets of plana) l
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
ElevatomTscalators I
ALL OTHER GAS PIPING Heat Exchanger j
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems r
Tanks(gallons)
Wells
OTHER: Mr)vzoi ( l I Pxlstt'no �I�. ward ova b+m tuw
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that r have read
this application and know the same to be true and correct. All provisions oflaws and ordinances governing this work will be complied with whether specified or
not. The pemdt dos not give authority to violate the previsions of any other state or local law regulation wnstrumion or the perfomm�ce of construction.
Property Owners Name//��n'(n t� ^N^t�roa Phone Number
Mechanical Company (!)U.0M A l Office Phe�on1JML-
Co.Address: J �1Ju +c I City Vdirn State t - L R'.Zip 1 v
License Holder(Print): ftl) t9iWe Certification/Registration# �iW1v1IS'0
Notarized Signature of LkeXive R r 1 V
4'*.,
' ANY L KKKntT ore me this day of 20�
My COMMISSION#FFB1O{y
EXPIRES SePUmbara9,1J1 ture of Notary Public
,.�pr,sysa�u rum"""