1639 Maritime Oak ACRS18-0356 Cash Register Receipt Receipt Number
19 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 'IN 0
MECHANICAL BASE FEE 455-0000-322- 515E00
455-0000-322-ioo, I
AC AND REFRIGERATION 126 -124.01
FURNACESAND HEATING -0001-32 L2-Do
�00� - 1
AIR DUCT SYSTEM :!5!5 322-1020 400 $20.00
F STATE SURCHARGES 4.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE 20 $2�00
ACRS18-0357 Address: 1657 MARITIME OAK DR APN: 169505 2005 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 2- W 0 00
2 i_IL I
AND REFRIGERATION 32 _1000 ;24�0
AIR DUCT SYSTEM 3 400 $20.00
3 1 412000 $24.00
FURNACES AND HEATING '5 5 0'00'1'� 22 1120 90 00 1
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 41 -0;000� 8 0 2 $2.00
STATE DCA SURCHARGE 5: 0 268 20!6200 0 $2.00
iTOTAL 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 10fi
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 411M FOR NEKT DAY INSPECTION: 247-S814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0356
Description: 3.5 Ton 42K BTU HVAC Unit
Estimated Value: 9745
Issue Date: 8/14/2018
Expiration Date: ZtIO/2019
PROPERTY ADDRESS:
Address: 1639 MARITIME OAK DR
RE Number: 1695051990
IPROIP�R-:
Name: CDL AB LLC
Address: 355 11TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFOR14ATION:
Name:
Address:
Phone:
Name: A/C MASTERS HVAC INC
Address: 111243 ST JOHNS PKVVY APT 3 CIA CHARLES STEVEN
CRABTREE
JACKSONVILLE, FIL 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 agencies.
*A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For RVAC work,a Notice of Commencement is only required when IIVAC work
exceeds and estimated value of$7,500.
WcHANIcAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beacb,Fl,32233
Ph(904)247-5826 Fax(904)247-5945 pa5l&-63-5�o
JOBADDRus: 1639 04rib�,ot- &.� -)rN1- pv
PROJECT VAL UW$
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Tons Per Unit 3,S J J V
Heat: Unit BTU'sPerUrdt:�� Seer Rating-L-5--
Total CFM
DuctSystems: RE(?VDtED
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION
ARI#
Air UnitQuan
Conditioning; Quan'ty— Ton'PerUnit
Best: Unit lily BTU's Per Unit SeerRatinp,
Duct Systems: Total CFM REQUMM
FIRE PREVENUON
Fire Sprilalder System Quantity (Requires 3 sets of plans)
Fire Standpipe Quarfity (Requires 3 sets of plans)
Undergrourid Fire Main Value (Requires 3 sets of plans)
Fire Rose Cabineft Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
F'm suppression systems Quantity (Requires 3 sets of plans)
FIREPLACES MISCELLANEOUS-
Prefabricated Fireplace Qty— Automobile Lifts
Gas Piping Outlets Boilers BTU's—
ElevatEWS/EScalatDrS
ALL OTHER GAS PIPING HerdExchanger
I'ty of Outlets — Pumps
d Wall Fumaces — Reffigerator Condenser BIVS
9 Water Heaters Solar Collwtion Systems
Tanks(gallons)
wells
OTHER:
Panni(tovornes void if wmk dom not nonnoorm within a six Month Mind or work is�wdnl or abandoned for six months.I herrby ornify then I have r�ol
All provisiow of la�and ovdiranm governing thiswork will be worpliedwith whother Vocifled
ornotThoperatitdoeswignman tyw�o tbc a myodw�orlocOlmr�plationmusauctimmtMpmf�mmofwnsftwdm-
Pmperty Owners 1A P�A, x f S PhoneNumber
Mechanical ? &) c 4VA4 OfflcePhonel?2Eq�saxj:��—w
Co.Address: ' �Ire,sr—, R�. A Sv,,4,—3 D6 citv state rL zipug-
License Holder(Print): CLek, stmfi,,#CAoqi
NotanizedSknaft"ofLaoenseRoMer
71joISINGTON1 Swom and subscribed before me 209
DFSIR!AA
myt,ttaMISSION000010211 Signature of Notary Public