2277 Seminole C ACRS18-0389 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NE)rr DAY INSPECnON: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0389
Description: 4 Ton 48K BTU HVAC Unit
Estimated value: 498D
Issue Date: 9/12/2018
Expiration Date: 3/11/2019
PROPERTY ADDRESS:
Address: 2277 SEMINOLE RD C
RE Nu mber: 1683440030
PROPERTYOWNER:
Name: PEPPER BARBARA LIFE ESTATE
Address: 2277 SEMINOLE RD APT C
ATLANTIC BEACH, FL 32233-5930
GENERAL CONTRAcrOR INFORMATION:
Name:
Address:
Phone:
Name: SNYDER HEATING &AIR
Address: P 0 BOX 16826 P.O. BOX 16826
JACKSONVILLE, FL 32245
Phone:.
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE 'yo 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,them may be additional restrictions
applicable to this property that may be found in the public records of this county, and them may
be additional permits reqwred 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
City of Atlantic Beach R6306
DESCRIPTION ACCOUNT 0 �ir_liibm
PermitTRAK $226.53
ACRS18-0389 Address: 2277 SEMINOLE RD C APNI: 168344 0030 $226.53
MECHANICAL $111.00
MECHANICAL BASE FEE 322-1000 1 0 $55.00
AC AND REFRIGERATION 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
STAn SURCHARGES $5.53
STATE DBPR SURCHARGE $3.32
0 `8 0
OL
0
STATE DCA SURCHARGE 455 0000126i 60LO 0 $221
WORK WrrHOUT PERMIT $110.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
�TOTAL FEES PAID BY RECEIPT: R6306 $226.53
REPRINT
CITY OF ATLANTIC BEACH
800 SEKNOUE RD
ATLANTIC BEAC,FL 32233
09/IZ)2018 14:4019
CREDIT CARD
MIC SALE
Cud# XXXWX=9331
SEQ#: 6
Batch#: 879
INVOICE 6
Approval Code: 51367P
Irty MI Manual
Mpde: Onlre
Card Code: M
SAE AMOUNT �153
CUSTOMER COPY
Date Paid:Wednesday,September 12, 2018
Paid By:SNYDER HEATING &AIR
Cashier: CB
Pay Method: CREDIT CARD 51367p
Printed:Wednesday,September 12,2018 2:41 PM 1 Of 1
09/1012018 13:15 9046412329 SNYDER A/C PAGE 02/03
NftCHANICAL PERMIT APPLIC , ION
CITY OF ATLANTIC 13EACI I
Soo Seminole RA Atlantic Beach, FL 3223
Ph(9G4) 247-5826 Fax(904)247-5845
C-
OB ADDRESS: S,
p,RojECT VALUE S_!�9tQ.11
,Air Haodltng Equipment O"1Y _Y� Air Handling Unit & Coll denser —Condenser Only
qEW Ant CONDITIONING & BEATING SYSTEM INSTALL ATION
Air Conditioning: Unit Quantity TonsPerUnit _ji
Heat: UnitQuaritk_ BTU'sPerUnit—li Seer Rating—
Duct Systems: Total CFM REQUIRED
?EPLACEMENT AIR CONDITIONING & HEATING SYSTE� INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit L4 scerRating %Li
REQUIRED
Duct System: Total CFM
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T'O N Quantity (R it 3 sets of plans
r
pi ff Sys" Quantity equ.
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Ho binets Quantity i
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FIRE PLACES MISCELLANEOUS;
Prefabricated Fireplace Qty— Automobile Lifts �
Gas Piping Outlets Boilers L
Elevatil�Scalatmb
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets — Pumps
#Vented Wall Furnaces — Refrigerator Condc.iser BTU's
9 Water Heaters — Solar Collection S,stem
Tanks(gallons)
Wells
OTHER:
�urnft bwornes void if work cou not(OrAmInCe within a six mmth period or work Ig swpendod of obw ioned for six months.I hereby cortity th rtir,'=Md
his applitation and knowtheserne to be me end eneran. All Seds work will be conniplict1with whether specified or
iot The pernnit dm net give"rhorhy to velm the provisions ofany other sune or Loml law fosiWatio, constmOtim Of the Perftbronino co'constrootion'
?roperty Owners Name, PhoneNumber ?6V7z_li1J9'9
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Vojar4#,Signature ofLicense Holder
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11;7.7 Signature of Notary Public
09/113"2018 13:15 9046412329 SNYDER A/C PAGE 03/03
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