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1785 Selva Marina Dr ACRS18-0366 HVAC permit 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: ACRS18-0366 Description: HVAC - 1 A/C, 1 AHU, 2 TON Estimated Value: 3560 Issue Date: 8/22/2018 Expiration Date: 2/18/2019 PROPERTY ADDRESS: Address: 1785 SELVA MARINA DR RE Number: 172019 0000 PROPERTY OWNER: Name: RODRIGUEZ JASON Address: 1785 SELVA MARINA DR ATLANTIC BEACH, FL 32233-5638 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: POLAR AIR & HEAT INC Address: P.O. BOX 77177 44229 GREEN MEADOWS LN JACKSONVILLE, FL 32218 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. 08121/2018 07:000ffice Admin (FAX)904 696 8791 P.001/004 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(404)247-5826 Fax(904)247-5845 _ JOB ApDRm: 11S5 se�VA, Y1 VA -Dw' PERhtrr# PROJECT VALUE $ 3,560 -00 _ ARI# M5056 6 MQUIRED Air Handling Equipment Only ZAir 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 REQUME,D REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity ,^ Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer RatinJ2 Duct Systems: Total CFM REQ UIRF.I,� nRE PREVENTION Fire Sprinkler System Quantity Requires 3 sets of plans Fire Standpipe Quantity uires 3 sets of plans Underground Fire Main Value esquires 3 seta of plana Fire Hose Cabinets Quantity Requires 3 alas of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty_ ,Automobile Lifts Gas Piping Outlets Boilers -' BTU's Elevato 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 3TIiER: rrc.l '1 iJ 1,0 Qr 2 � A 1 ,T, /0�7r Wrait becomes void if work does not commence within is six wroath period or work is ed or abawoaW for six n=ft.i hereby certify thst I have read hisapplicat,on and know the same to be true and oearect. All provisions of laws and ordinances governing this work will be complied with whether specified or jot. The permit does not give authority to violate the provisions of any other timate or local law regulation congwxtion or the perfo wee of construction, 'roperty Owners Name Phone Numberg -3g5-,3We4 Aechanical Company Office Phone 41064 Fax ��A .o. Address: City �OA� (� (6 State�L Zip;' License Holder(print): rtificationlRegistration #CACD��_ Yat a Halder "OfyPLe*-st�o(Fiofld, Before me this 'c 9- -day of 20 cmMitislon t GG 133N7 t.IC"flibonswim2t Signature of Notary PublicIllu 5%*dtM-*Nt"WNFAur. AL Cash Register • • City of Beach R6118 DESCRIPTION • CITY PAID PermitTRAK $99.00 ACRS18-0366 Address: 1785 SELVA MARINA DR APN: 172019 0000 $99.00 MECHANICAL $95.00 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 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 1 0 $2.00 TOTALPAID BY RECEIPT: R6118 $99.00 CITY AE ATLANTIC BEACH 800 S&INOLE RD ATLANTIC BAC,FL 32233 08.:22 2018 11:13:11 CREDIT CARD VISI SALE Card XXXXXXXXXXXX4830 SEQ u; 3 Batch u: 615 INVOICE 3 Approval Code: 09340C Entry Method: Manual Mode: Online Card Code: M SALE AMOUNT $m CUSTOMER COPY Date Paid: Wednesday, August 22, 2018 Paid By: POLAR AIR & HEAT INC Cashier: BA Pay Method: CREDIT CARD 3 Printed:Wednesday,August 22,2018 11:14 AM 1 of 1ji mw�