1585 E Park Terrace ACRS18-0372 Cash Register Receipt Receipt Number
City of Atlantic Beach R6159
PAID
DESCRIPTION ACCOUNT CITY
PermitTRAK $206.00
ACRS18-0370 Address: 178 BEACH AVE APN: 170210 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
455-00a0-322-1000 2 $16.00
AC AND REFRIGERATION $24.00d
I FURNACES AND HEATING 455-OD00-322-10130 23200
STATE SUROIARGES $4.00
STATE DBPR SURCHARGE 455-00DD-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS18-0372 Address: 1585 E PARK TER APN: 171957 0000 $107.00
MECHANICAL $103,00
MECHANICAL BASE FEE 455-000D-322-10OD 0 $55m
455-0000�322-1000 3 $24,00
AC AND REFRIGERATION
FURNACES AND HEATING 455-0000-322-1000 46500 $24�00
STATE SURCHARGES $4.00
STATE DOPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SU RCHARG E 455-OODO-208-060D 0 S2 00
TOTAL FEES PAID BY RECEIPT: R6159 $206.00
CITY OF ATANTIC BEACH
BOB SEIVINOLE RD
ATLANTIC BEAC,F.32113
ow7i2olli 13:30:35
CREDIT CARD
VC SALE
Card 4 W)U=2227
SEQ 3
W#: 678
TWICE 3
Approval Code: D459a]
Entry Whod: manual
Mode: Odn'!
Tax knout: $0.00
Cad Code: m
Date Paid: Monday,August 27,2018 SALE AMOUNT $206.00
Paid By:A/C DESIGNS OF ST AUGUSTINE
Cashier: EA CUSTMER COPY
Pay Method: CREDIT CARD 3
Printed:Monday,August 27,2019 1:32 PM I Of 1
CITY OF ATLANTIC BEACH
E ROAD
800 SEMINOL
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MU9r CALL BY 4PM FOR NE)Cr DAY INSPECnON: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0372
Description: 3 Ton 46.5K BTU HVAC Unit
Estimated value: 3976
Issue Date: 8/27/2018
Expiration Date: 2/23/2019
PROPERTY ADDRESS:
Address: 1585 E PARK TER
RE Number: 1719570000
PROPERTY OWNER:
Nam: CROFT ROBERT W
Add 1585 PARK TER E
ATLANTIC BEACH, FL 32233-5634
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A/C DESIGNS OF ST AUGUSTINE
Address: 3370 AGRICULTURE CENTER DR CIA EDWARD DOUGLAS
TENNANT STAUGUSTINE, 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 pernuts�rulred from other governmental entities such as water management
districts, state agencie ,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 RVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
OCITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(9104)247-5826 Fair (904)247-5845
JOB ADDRESS: 1585 PARK TERRACE E P
ERI%M 1-03 7Z
PROJECT VALUE S 3976 ARI# 7998736 REQUIRED
__Air Handling Equipment Only 2�__Air Handling Unit & Condenser _CondenserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
AirConditioning: linitQuantity_ TonsPerUnit
Heat: UnitQuamity_ BTU'sPerUnit Seer Rating—
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: lTnitQuamityl_ Tom Per Unit 3
Heat: Unit Quantity I BTU's Per Unit 46500 SeerRatLng_15_
Duct Systems: Total CFM NIA 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 ptam)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalaturs
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser - -BTU's--
4 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
,emit becomes void ifwork does our commerce within six=period or work is suspended or abandoned for six anamths.I Incebyeartify that I have read
his application and know the same to be me and coff� Ail provisions of lam. and ordinamentgovesming this work will be complied with whetherspeciflod or
rut. The pmdtdocs not give sarthorli% to violate the provisions of my other sleme or local lawresulatian construction or the perforrassuce of construction.
roperty O�ers Name BOB CROFT Phone Number 904-716-6820
�Aechanical Company AC DESIGNS INC OfficePhone 9114-829-8898 Fax904-829-6587
o.AZirrss: 3370AGRICULTURALCENTERDR City ST AUQUSTINE StateFLZip 32092___
License Holder(Print): — EDWARD State Certification/Registration#CAC1813372_
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commission 0 FF 245537 Before me this 1)-7 day of
My Go,,.Expires Anil S.2019 Signature of Notary Public oc,:�—Xz