229 Pine St ACRS18-0454 Cash Register Receipt Receipt Number
City of Atlantic Beach R742S
—QTy
PermitTRAK DESCRIPTION ACCOUNT $492.00
ACRS18-0454 Address: 229 PINE ST APN: 170563 0010 $135.00
$131.00
MECHANICAL
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24,00
AIR DUCT SYSTEM 455-0000-322-1000 1600 $20.00
STATESURCHARGIES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 1 0 1 $200
STATE DCA SURCHARGE 455 0000-208-0600 1 0 1 $2.00
ACRSIS-0459 Address: 180 SANDY BEACH LN APN: 173414 0160 $319.00
MECHANICAL '111:2-�
MECHANICAL BASE FEE 455-0000-322-1000 U s"
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $240)
E20 00
AIR DUCT SYSTEM 455-0000-322 1000
$4.00
STATESURCHARGES
STATE DEER SURCHARGE 455-0000-208-0700 $2.00
$2 00
STATE DCA SURCHARGE 455-0000-208-0600 1 0 1 $2.00
ACRS18-0460 WAddress: 172 SANDY REACH LN=APN: 173414 OffI70 $119.00
$115.00
MECHANICAL
MECHANICAL BASE FEE 455 -322 0 $155.00
-0002 $
00'0
5 2
AC AND REFRIGERATION 5 EOOOO 3221200000 1 2 $16.00
000_ �
m. 00
AIRDUCFSYSTEM tE�455-0000-322-11'00000 goo 520.00
FURNACESAND HEATING 455-0000-322-1000 24000 $24.00
$4.00
STATE SURCHARGES
STATE DBPR SURCHARGE 455-0000-209-0700
STATE DCA SURCHARGE 455 00C,1 �08 0600 0 52 00
$119.00
ACRS18-0461 Address: 176 SANDY BEACH LN APN: 173414 0165
$115 00
MECHANICAL
MECHANICAL BASE FEE 455-0000 322-1000 0 '�5
AC AND REFRIGERATION 455-0000-322_1000 2
STATE SUR7 RGE'
A B R RCHARGE 455 0 2 8 7 00
2 'C
E 0 00165
'T 'D P 'U H 0 0' , ,
TATE DCA SU C AR E 455 "C- "' 60
CRS18-0461 Address. 76 ANDY BEACH LN APN 17340 14 $119 00
5'T 501
Ec1AN'GA'
M'CHAN'C"BASE FEE
$ 6 00
AC AND REFRIGERATION
$2000
YST
AIR DUCT SYSTEM 455-0000-322-1000 wu $20.00
Date Paid:Tuesday, November 20,2018
Paid By: FLORIDAAIR SERVICE& ENGINEERING
Cashier: CB
Pay Method:CREDIT CARD 47819
Printed:Tuesday,November 20,2019 4:49 PM 1 of 2
Nov 06 2018 0214PM HP FaXFAE 9048239M page 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5945 p4sis/- o4s�
JOB ADDRESS: 229 PINE ST PERMIT H-REsIS-0228—
PROJECT VALUE S AR14 '?J4X79'9 _REQUIRED
—Air Handling Equipment Only ZAir Handling Unit & Condenser — CondenserOuiy
VEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit
Heat: Unit Quantity I BTU,s Per Unit A�a Seer Rating_
Duct Systems: Total CFM Aqw RLQ(JIRFD
.IEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ Tons Per Unit
Heat: Unit Quantity_ BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
ZIRE 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)
?IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalatom
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
N Vented Wall Fumaces Refrigerator Condenser BTU's
0 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER:
smult b,%symes;�oid if work don..t commerce within a six month rerex!or work is suspended oralbandloned forsix months.I hereby"dify that I have MW
is application and know the same to be trac and corns;t. All provisionsoflaws and ordmances governing this work will be complied with whether specified or
.1. 'rhe permit don not give Mtn I 0�1101a thereto,.nuo"o�y o
i��te"lnw regulation constarciion or the performan.of construction.
roperty Owners Name Phone Number
lechanical Company FbuA� Office Phone 713-flAFax gn-cliet"15
a. Address: 16h I,Alt( 1y, W :cd City 60fre, State 9- Zip 32WI
icense Holder(Print). '1;:�k in 0. 5kkSUv� State Certification/Registration 40w5 i,49+
atarized Signature qirucense Molder &-c,
Before me this to day, of Is
Signature of Notary Pub]ic
I -- - I'll
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0454
PERMIT ISSUED: 11/20/2018
CITY OF ATLANTIC BEACH EXPIRES: 5/19/2019
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.
pplicable to this property
NOTICE:in addition to the requirements of this permit,there may be additional restrictions a
OT'In *'no f."'o to er Earn tsoftllisp
a . I" "
that y be found In the public records of this county,and there maybe additional permits required from other
g'v." rt' 'ntiti
r Is I "'. " at"m ..gem I
governmental entities such as water management districts,state agencies,or federal agencies.
MECHANICAL RESIDENTIAL 4 Ton 48K BTU HVAC Unit $8800.00
229 PINE ST HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: SALTAIR SEC 03
1705630010
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA AIR SERVICE& 150 HILDEN ROAD,#308 PONTEVEDRA FL 32081
ENGINEERING
OWNER: ADDRESS: CITY: STATE: ZIP:
RUBIN DENISE P LIFE 229 PINE ST ATLANTIC BEACH FIL 32233-4013
ESTATE
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 ORAN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
I LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION
AC AND REFRIGERATION 455 0000 322 1000 4 $32.00
$20DO
AIR DUCT SYSTEM 455-M-322 1" 1600
FURNACES AND HEATING 455�32'4GGG 48000 $24.00
E"F
MECHANICAL BASE FEE 455-1�21�-Jcoo
Issued Date:11/20/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0454
PERMIT ISSUED: 11/20/2018
CITY OF AT LANTIC BEACH EXPIRES:5/19/2019
STATE NPR SU SIM
9ATEXASURCHARGE 455-�2�� 0 $2MI
TOTAL$13S.001
imed Date: 11/20/2018 2 of 2