594 Coastal Oak Ln ACRS18-0474 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0474
PERMIT
ISSUED: 11/19/2018
CITY OF ATLANTIC BEACH EXPIRES: 5/18/2019
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
594 COASTAL OAK LN MECHANICAL RESIDENTIAL 2 AC 2 Heat Units with Duct $13SO0.00
HVAC System
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695052020 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE:- ZIP:
A/C MASTERS HVAC INC 445 TRESCA ROAD #306 JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
Riverside Homes of North 414 OLD HARD RD STE 502 ORANGEPARK FL 32003
Florida
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.
M
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5.5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2200 $28.00
FURNACES AND HEATING 455-0000-322-1000 66000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 11/19/2018 1 of 2
Vj
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0474
CITY OF ATLANTIC BEACH ISSUED: 11/19/2018
EXPIRES: 5/18/2019
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.27
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL:$155.27
Issued Date: 11/19/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233
Ph(904)247-5826 Fax(904)247-5845
JoB ADDRFss: 0-S e- PERMrr#941f
PROJECT VALUE$
NEW AIR CONDITIONING & BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 2 ?-3-9
Heat: Unit Quantity BTU's Per Unitdj#0 f?A ho Seer Rating 1,57 C)
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
AFJ#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FURE 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 Refrigerator Condenser BTU's
4 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 read
this application and know the same to be true and correct All provisions of laws and ordinances governing this work will be compUed with whether specified
or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perfbnnanoe of construction.
Property Owners Name Phone Number
-q6 Fax-7
Mechanical Company �Lw 4c-a 3a C. Office Phone7.)P-?1'
Co.Address: q q k 3 city l;,6 v.x fit State 9 zip ,.3-1)�
License Holder(Print): k-al 14111,r State ertificatidh/Registration#
Notarized Signature of License Ho
Sworn and subscribed before me/tIgiSA f —20A
0."LJV4' DEBRA ANN HOISINGTON 3ignature of Notary Public
MY COMMISSIONS 00031924
EXPIRES OcbMr 16.2020
Cash Register Receipt Receipt Number
City of Atlantic Beach R7396
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $155.27
ACRS18-0474 Address: 594 COASTAL OAK LN APN: 169505 2020 $155.27
MECHANICAL $151.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $40.00
FURNACES AND HEATING 455-0000-322-1000 66000 $28.00
AIR DUCT SYSTEM 455-0000-322-1000 2200 $28.00
STATE SURCHARGES $4.27
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.27
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7396 $155.27
Date Paid: Monday, November 19, 2018
Paid By: A/C MASTERS HVAC INC
Cashier: CB
Pay Method: CREDIT CARD 4
Printed: Monday, November 19, 2018 10:55 AM 1 of 1