586 Timber Bridge Lane ACRS18-0434 HVAC permit V-
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0434
PERMIT ISSUED: 10/16/2018
CITY OF ATLANTIC BEACH EXPIRES: 4/14/2019
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, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
586 TIMBER BRIDGE MECHANICAL RESIDENTIAL 3 Ton 36K BTU 1200 CFM $10700.00
HVAC
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: INUIMBER.* GROUP:
ATLANTIC BEACH
169505 2120 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
A/C MASTERS HVAC INC 445 TRESCA ROAD #306 JACKSONVILLE FL 32225
ADDRESS: CITY: STATE.
ATLANTIC BEACH 414 OLD HARTS RD STE 502 FLEMING ISLAND FL 32003
PARTNERS LLC
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
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID A"MUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
AIR DUCT SYSTEM 4SS-0000-322-1000 10200 $88.00
FURNACES AND HEATING 4SS-0000-322-1000 306000 $0.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00
issued Date: 10/16/2018 1 of 2
I MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
st
-0434
PERMIT ACRS18
ISSUED: 10/16/2018
CITY OF ATLANTIC BEACH
EXPIRES: 4/14/2019
STATE DBPR SURCHARGE 4S5-0000-208-0700 -F--o $2.Sl
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$171.51
Issued Date: 10/16/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC ]REACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5945 Alt 043
JoB ADDRESS: PERMn# keeSl)-0/a
PROJECTVALUES, /0-WO. —
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3
Heat: Unit Quantity BTU's Per Unit Seer Rating, Z
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit ARI#REQU-TRUED
Heat: Unit Quantity_ BTU's Per Unit Seer Rating
Duct Systems: Total CFM 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 Wall Furnaces Refirigerator 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=1�hlll Mad
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give uth 'ty t violate the provisions of any other swc or local law regulation construction or the performance of construction.
Property Owners Name -I ly-,s �j j e- "rn e X Phone Number
Mechanical Company k1 C K41)cls -Office Phone7,44WFax 7-144?��
Co.Address: Llq6 I r-ej C.- city :);Uro )s'& State I? Zip
License Holder(Print): CI�Ae,_i Sta n/Regdstration OCAC d113j5_ y
Notarized Signature of License Holder
Sworn and subscribed before me Mis
da ev, 20-)Y
.It'lA"" DEBRAANN HOISINGTON
1% Signature of Notary Publ
.1.1-1. MY COMMISSION S G0031920 ic
:'W"OF, EXPIRES Oc"w 15,2020
Cash Register Receipt Receipt Number
N
10; 1, City of Atlantic Beach R7054
DESCRIPTION ACCOUNT CITY PAID
PerrnitTRAK $171.51
ACRS18-0434 Address: 586 TIMBER BRIDGE APN: 169505 2120 $171.51
MECHANICAL $167.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 10200 $88.00
STATE SURCHARGES $4.51
STATE DBPR SURCHARGE 77E 455-0000-208-707�00 0 $2.51
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7054 $171.51
Date Paid: Monday, October 15, 2018
Paid By: A/C MASTERS HVAC INC
Cashier: CB
Pay Method: CREDIT CARD 1338g
001PPrinted: Monday,October 15,2018 3:16 PM 1 of 1 0