178 Beach ACRS18-0370 Cash Register
��. Receipt R6159
City of Atlantic Beach
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DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $206.00
ACRS 0370 Address: 178 BEACH AVE APN: 170210 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 D $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 23200 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000208-0600 0 $2.00
ACRS18-0372 Address: 1585 E PARK TER APN: 1719570000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000322-1000 0 $55.00
AC AND REFRIGERATION 455-0000322-1000 3 $24.00
FURNACES AND HEATING 455-0000322-1000 46500 $24.00
STATE SURCHARGES
STATE DBPR SURCHARGE 455-0000208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 1 0 1 $2'00
TOTAL • BY RECEIPT: R6159 $206.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATUMIC BEAC,F.32233
08127,2018 13:30'39
CREDIT CARD
MC SALE
Cada XVXICWVM227
SEQ a: 3
Batch a: 678
INVOICE 3
Approval Code: 045981
Enry Metlwd: Marvel
Mode: Crime
Tar kwt: $0.00
WOW M
Date Paid: Monday,August 27,2018 SALE AMOUNT Vim
Paid By:A/C DESIGNS OF ST AUGUSTINE
Cashier: BA CUSTOMER COPY
Pay Method: CREDIT CARD 3
Printed:Monday,August 27,20181:32 PM 1 of 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
v INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS16-0370
Description: replace 2-ton 23.2K-BTU AHU
Estimated Value: 3976
Issue Date: 8/27/2018
Expiration Date: 2/23/2019
PROPERTY ADDRESS:
Address: 178 BEACH AVE
RE Number: 170210 0000
PROPERTY OWNER:
Name: 178 BEACH AVENUE LLC
Address: 6 BAY ST E STE 500
JACKSONVILLE, FL 32202
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A/C DESIGNS OF ST AUGUSTINE
Address; 3370 AGRICULTURE CENTER DR OA EDWARD DOUGLAS
TENNANT
ST.AUGUSTINE, FL 32092
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$7,500.
v.
From:AC Designs 9048296587 08/22/2018 10:44 #061 P.001/001
MECHANICAL PERMIT APPLICATION
OCITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 ,
JonADDREss: 178 BEACH AVE PERbffr#
PROJECT VALUE$ 3976_ ARI# 7998736 REQUIRED
_Air Handling Equipment Only X 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 Quantity1 Tons Per Unit 2
Heat: Unit Quantity 1 BTU's Per Unit 1300023200 Seer Rating 14
Duct Systems: Total CFM N/A_ 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 Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
,.#Vented WallFurnaces ..._.Refrigerator-Condenser.... BTU
s.-_ _.....
#Water Heaters _._ Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
'emit becomes void if work does not commence within a six month period or work is suspended or aboadmed for sic months.I hereby artily that I have read
his application and know the same to be we and correct All ptwislons of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give mdtont3 to violate the provisions of my other state or local law regulation constnwllon or the performance ofconslruction.
'roperty Owners Name DAVID EDWARDS Phone Number 386447-5446
Vechanical Company_.. . ;IC DESIGNS INC Office Phone 904-829-8898 Fax904-829-6587
o�ddress: 3370 AGRICULTURAL CENTER DR City ST AUGUSTINE State FL Zip 32092
License Holder(Print): . . EDWARD j%k#j __State Certification/Registration#CAC 1813372_
plig&fjLd i naiureofLiceas Ider
aELINOA B" 111 (� _ � � ,,��
"' Notary Puallc-Stats of Flonde Before me this a1 day of 20 t
- a .. Commission B.FF245537