1710 E Park Terrace ACRS18-0393 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAG -
MUST CALL BY 4PM FOR NE)rr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO, ACRSIB-0393
Description: 2 Ton 22K BTU HVAC Unit
Estimated Value: 3900
Issue Date: 9/12/2018
Expiration Date: 3/11/2019
PROPERTY ADDRESS:
Address: 1710 E PARK TER
RE Number. 1720200398
PROPERTYOWNER:
Name: RASTRELLI EDMUND C
Address: 1710 PARK TER E
ATLANTIC BEACH, FL 32233-5826
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: NORTHPORT CONSTRUCTION GROUP dba NORTHIPO
Addr�: 2905 SPRING PARK RD TIMUR ISPARYAN
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE rro 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 my be additional restrictions
applicable to this property that may be found in the public records of this county, and then may
be additional pennits 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.
Cash Register Receipt Receipt Number
w City of Atlantic Beach R6298
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $99.00
ACRS18-0393 Address: 1710 E PARK TER APN: 172020 0398 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455;5�1010� 2 '0 0 0 $55.00
AC AND REFRIGERATION 3 2�000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22000 M$92 400000
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 2
STATE DCA SURCHARGE 455-0000-208-0600 0 S2�0000
TOTAL FEES PAID BY RECEIPT: R6298 $99.00
Date Paid: Wednesday,September 12, 2018
Paid By: NORTHPORT CONSTRUCTION GROUP dba NORTHPO
Cashier: CB
Pay Method: CREDIT CARD 012357
Printed:Wednesday,September 12,2018 11:00 AM 10ft
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FL 32233 0313
Ph(904)247-5926 Fact(904)247-5845
JoBADDRIESS: V+10 PERMIT#
PROJECT VALUE S S kCt 0 0 AJU N _________REQUIPED
—Air Handling Equipment Only _,Air Handling Unit& Condenser _CondeftserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UnhQuantity Tom Per Unit —
Heat: Unit Quantity BTU'sPerUnit_ Sm Rating REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: UnitQuantity I Tons Per Unit A
Heat: Unit Quantity i BTU's Per Unit S�Rating
Duct Systems: Total CFM R�EQIRED
FIRE PREVENTION
Fim Sprinkler System Quaritity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requim 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
Elevator;/�alaton
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
4 Water Heaters Solar Collection Systems
Tanks(Olons)
Wells
OTHER:
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Property Owners Name nti PhoneNurnberla�_:�0_
MechanicalCompany 40e.41Fo&4 qea 4AJ ks, Office phoce.731-%Z�5 FasIV42i't
11 1 -4
Co. Address: Aq,>5 sv .n) City Statt-1– zip
License Holder(Print); ---Q#Auk OrtlEfA0J —State Certification/Registration Nq!A�C003
1volarized,vignaiare of License Holder P___�4
�01� Before me this I day.f.-608inj .. 2019
==Wr.. Signature of Notary Public ga:�—�VA
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