1717 Maritime Oak ACRS18-0425 CCIAB Pennit Form with Conditions Page I of 2
Enter Permit Number
14 4 =of 1 0 Find I NW
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-042S
PERMIT ISSUED:10/8/2018
CITY OF AT LANTI C BEACH EXPIRES:4/6/2019
MUST CALL INSPECTION PHONE LINE(904)247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017)OF THE FLORIDA BUILDING
CODE,NEC, IPIVIC,AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES.
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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NOTICE:In addition to the requirements of this Permit,there may be additional restrictions applicable to this pro"
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that may be found In the blic records of this county,,..d the,.may be additional permits required from othe
ficy.r. m.l.rdruss. as .,.r ...a.. on",sta't
Fgwermnental entities such as star man.irema`.�,d',Ytricts,gate agencies,or federal agencies
JOB ADDRESS: PERMIT TYPE: DESC-1-10-1'
1717 MARITIME OAK DR MECHANICAL RESIDENTIAL 3 Ton 36K BTU 1200 CFM $7375.00
HVAC HVAC Unit
TYPE OF REAL '', I ZONING: 1 1:111 111 USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: I
ATLANTIC BEACH
169505 1770 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS:
A/C MASTERS HVAC INC 445 TRESCA ROAD#306 JACKSONVILLE FL 32225
MCGOWAN JOSEPH M 93 RIVER ST SLEEPY HOLLOW NY, lubui
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Rail off container company must be on city approued list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT FAIDAMUUNI
�MD RERIGE�ON eis�322 1. 3 $24M
�RN�AND��W 3 $24.00
.E.MICAL.kFEE
sTATEDNPRSUR"RGE
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COAB Pennit Fom with Conditions Page 2 of 2
1 $�.j
TOTAL$127.00
Issued Date:10/8/ZOlg
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MECHANICAL PERmiT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 a,42-5
Ph(904)247-5826 Fax(904)247-5845
JoB ADDRESS: i PERMT# 0/
PROJECT VALUE$ -7 3 15, �0
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3
Heat: Unit Quantity I BTU's Per Unit Seer Ratmg--
Duct Systems: Total CFM REU61—RED
.REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit R E Q UHR MED
Heat: Unit Quantity BTUs Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
F ire 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 11%
Gas Piping Outlets Boilers BTU's
Elevators/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
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have
this application and know the same to be true and correcL All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give autho * to violate the provisions of any other state or local law regulation construction or the performance of con*ucdon.
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Property Owners Name"'ut"o r- t�,tj ee',osa, r�e PhoneNumber
Mechanical Company A) C K,3-s Office Phone jajWFax
ss: q q
Co.Addre, Y-e 5c-,A– 124. 06 city Jle State—rr- zip
License Holder(Print): S gistration#—Lkl�fffv
Notarized Signature of License Holder
worn and subscribed before m t u d C4�e., 20 /7
DEBRA ANN HOISINGTON
-I' "A -
MY COWISSION 0 G0031926
EXPIRES Ocftw 15,2020 5ignature of Notary Public
Cash Register Receipt Receipt Number
19 City of Atlantic Beach R6955
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $127.00
ACRS18-0425 Address: 1717 MARITIME OAK DR APN: 169505 1770 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 1 0 $5500
ACAND REFRIGERATION 455-0000-322-1000 1 3 $24.00
AIR DUCT SYSTEM 455�0000-322-1000 1 12M $20.00
FURNACES AND HEATING 455-0000-322-1000 1 36000 $24.00
STATIE SURCHARGES $4.00
STATE DBPR SURCHARGE 4SS-000�208-0700 1 0 $200
STATE DCA SURCHARGE 455-0000-208 :J�
TOTAL FEES PAID BY RECEIPT: R6955 $127.00
Crr(OF ATIANTIC BEACH
BDO SENINOLE RD
AR)WIC BEAC,R.32233
IO/Ok2OIB 13:42:44
CREDIT CARD
MC WE
Cad XWV)=9016
SEQ#: 2
BAch 111: 706
IWOICE 2
Appmal Codt 013NG
6ty*W: m"
Onlim!
Tax knint $0.00
Cxrd Code: m
SALE AMOUNT $127,W
CJSTOHER COPY
Date Paid: Monday, October 08, 2018
Paid By:A/C MASTERS HVAC INC
Cashier: BA
Pay Method:CREDIT CARD 2
Printed: Monday,October 08,2018 1:43 PM 1 of 1