1657 Maritime Oak ACRS18-0357 Cash Register Receipt Receipt Numbe
11 City of Atlantic Beach R6043
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $254.00
ACRS18-0356 Address: 1639 MARITIME OAK DR APN: 169505 1990 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455 0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-000D-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 C2000 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 '4()0 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE :525-602000-218-0700 1 0 $2.00
STATE DCA SURCHARGE 5 06 -209-0600 1 0 $2.00
ACRS18-0357 Address: 1657 MARITIME OAK DR APN: 169505 2005 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE Do-! 0 $55.00
ACAND REFRIGERATION :EOW:3�2!E02000 4 $24.00
AIR DUCrSYSTEM 45S-0000-322-1000 1400 $20.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2DO
STATE DCA SURCHARGE 455-0000-208-062L__j 0 $'an
TOTAL FEES PAID BY RECEIPT: R6043 $254.00
Date Paid:Tuesday,August 14, 2018
Paid By:A/C MASTERS HVAC INC
Cashier: CB
Pay Method: CREDIT CARD 02474g
Printed:Tuesday,August 14,2018 2:35 PM 1 of 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
PERMIT INFORMATION;
PERMIT NO: ACRSI"357
Description: 3.5 Ton 42K BTU HVAC Unit
Estimated Value: 9575
Issue Date: 8/14/2018
Expiration Date: 2/10/2019
PROPERTY ADDRESS:
Address: 1657 MARITIME OAK DR
RE Number: 1695052005
PROPERTY OWNER:
Name: CDL AB LLC
Address: 355 11TH ST
ATLANTIC BEACH, FIL 32233-5631
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Nam: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
JACKSONVILLE, FL 32246
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 Mencies.
*A notice of Contruencentent is only required for work exceeding an estimated value of
$2,500.For HVAC work, a Notice of Coramencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 Atps vv 03
JOB AIDDRTm: ... —Pnmr#
PROJECT VALUE$
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioning; Unit Quantity I
Heat: TomPerUnit 5.5
Duct Systems: UnitQwmtity-T BTU`sPerUnit SearRatiaL
TotalCFM _j_5
REQUBM
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioninw. Unit Quantity unit
Heat: Unit _ Tom per ARl#)ffQV1JWD-
"y BTU's Per Unit
Tot,Vat' —
Duct Systems: I CFM Seerllating--
REQUDZED
FIRE PREVENTION
Fire Sprinkim System Quantity
Fire Standpipe (Requiris 3 sets of plans)
Underground File Main Quantity (Requires 3 sets of plans)
Value
Fire Hose Cabinets - Quand (Requires 3 sets of plans)
Commercial Hoods ty (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
Quantity (Requires 3 sets of plans)
FIREPLACES MISCELLANEOUS:
P�mfabrkated Fileplare Qty
Gas Piping Outlets Automobile lifts
Boilm BTUs
Elevatotr�Yw—aktm —
ALL OTHER GAS PIEPING Heat Exchanger
Quantity of Outlets Pumps
#Venteit Wall Furnaces
#Water Heaters Refrigerator Condenser WTU�s
Solar Collection Systems
Tanks(gallons)
OTHER: Wells
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Property OwneoNimie Rlvesj, �A�es Phone Number
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Fiat
Co.Address: Ro.J LiAo k -3104 city :3�40,,vi A state)'-- Zip -AL)w--
License Holder(Print):
Notarized Signature qfLkewe Holder
D,11,1:�INN HOISINGTON Stvorn and subscribed before me
9510N a 0003IMSignature,of Notary P
Ia.21NO ublic.