1655 E Park Terrace ACRS18-0329 pf�lri
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: ACRS18-0329
Description: 4 Ton 48K BTU HVAC Unit
Estimated Value: 6625
Issue Date: 8/8/2018
Expiration Date: 2/4/2019
PROPERTY ADDRESS:
Address: 1655 E PARK TER
RE Number: 172020 0214
PROPERTY OW NER:
Name: NAPIER WILLIAM M
Address: 1655 PARK TER E
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AIR SOURCE AMERICA INC
Address: 207 20th at N JASON BUEHLER
JACKSONVILLE BEACH, FL 32250
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$7,500.
i
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax(904)247-5845 p�p��1P �a
JOB ADDRESS: 1655 Park Terrace E Atlantic Beach FL 32233 PERnn'�i1tiFe^t� -W�
PROJECT VALUE$ $6625 ARI# 9155636 REQUIRED
Air Handling Equipment Only 2 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 Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 4
Heat: Unit Quantity 1 BTU's Per Unit 48.000 Seer Rating 15
Duct Systems: Total CFM 0 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 QtyAutomobile 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:
Permit becomes void ifwork does not commence within a six north period or work is suspended cr abandoned for six months.I hereby canny that 1 have read
this application and know the same to be true and correct. All pmvisiom of laws end ordinances governing this work will he complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation ennsauRion or the perrnrmance ofecns"etion.
Property Owners Name William Napier Phone Number 904-755-5432
Mechanical Company Air Cp11rCe Am .ring a Office Phone A(14-9-IR-R831 Fax A04-485-R7R8
Co. Address: 207 70th Street N City .lack onville Bah State FL_Zip 32250
License Holder(Print): State Certification/Registration# CAG 181671 R
Notarized Signature OjLieense Halder
Before a this 23 day of u 018
ME
Patin W FiorvH Signature ofNotary Public1Nar{