1793 Atlantic Beach ACRS18-0495 Cash Register Receipt Receipt Number
NO
City of Atlantic Beach R7580
DESCRIPTION ACCOUNT CITY 'P,,,.
nnitTRAK $218.00
ACRS18-0495 Address: 1793 ATLANTIC BEACH DR APN: 169505 1495 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE $55.00
AC AND RFFRIGERATJON 11�00 $8.00
FURNACES AND HEATING $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455.ODO( 00
STATE FICA SURCHARGE 455-000(
ACRS18-0497 Address: 611 TIMBER BRIDGE LN APN: 169505 2090 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455 0000-322-10DO 0 555.00
AC AND REFRIGERATION 455-000D-322- OW 4 $24.00
FURNACESAND HEATING 455-0000-322-1000 42000 $2400
AIR DUCT SYSTEM 455-0000-322-1000 1400 $20.00
7 57TATE Sui&ARGES ....... $4.00
STATE DBPRSURCHARGE
00
'N
�5 $7 on
STATE OCA SURCHARGE 4 5 6216--21
TOTAL FEES PAID BY RECEIPT: R7580 $218.00
1
Date Paid:Tuesday, December 11,2018
Paid By: MCGOWAN'S HEATING&AIR CONDITIONING
Cashier: SA
Pay Method: CREDIT CARD 1
Printed:Tuesday,December 11,2018 8:49 AM 1 Of 1
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0495
ISSUED: 12/11/2018
CITY OF ATLANTIC BEACH EXPIRES:6/9/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE, NEC, IPIVIC, 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:
1793 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL 1.5 Ton 17.1K BTU HVAC $2800.00
HVAC Unit
TYPE OF REALESTATE ZONING: BUILDING USE
CONSTRUCTION: NUMBER: GROUP: SUBDIVISION:
169505149S ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCGOWAN'S HEATING &
AIR CONDITIONING 11320 Phillips Parkway Drive East Jacksonville FL 32256
OWNER: ADDRESS: CITY: STATE: ZIP:
GRAVES MICHAEL
LAWRENCE 1793 ATLANTIC BEACH DR ATLANTIC BEACH Fl- 32233
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.
LIST OF CONDITIONS
parry must be on City approved list. Container cannot be placed on City right-of-wary.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
� 'C,
AC,AND REFRIGERATION 4S5-OXO 322 100) I'S $800
ED S A
FURNEACES AND HE $24,00
M RE'CH G
ECHANICAL Elk' $55=
Issued Date:12/11/2018 1of2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0495
ISSUED: 12/11/2018
CITY OF ATLANTIC BEACH EXPIRES:6/9/2019
STATE DBPR SURCHARGE $2.001
STATEXASURCHARGE 455-0�2�00 o
Issued Date:12111/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
OR ADDRESS: Ph(904)247-5826 Fax(904)247-5845
G+�Wlnw &n_ch ERMfr
PROJECT VALUE S.aSOD AR1#_192jj ()( 0 -REQUIRED
_.Air Handling Equipment only )6—Air Handling Unit & Condenser —Condenser Only
MW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 1. 5
Heat: Unit Quantity--J_ BTU's Per Unit Seer Ratin
Duct Systems: Total CFM __� REQUIRED
MPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: - Unit Quantity BTU's Per Unit
Duct Systems: Total CFM SecrRating,
REQUIRED
?IRE PREVENTION
Fire Sprinkler System Quantity
Fire Standpipe Quand (Requires 3 sets of plans)
Und rground Fire Main value ty (Requires 3 sets of plans)
a (Requires 3 sets of plans)
Fire Hge Cabinets Quantity
Commercial Hoods (Requires 3 sets of plans)
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 TT—LPS
Elevatoril'�cajamn
kLL OTHER GAS PIPING Heat Ex
Quantity of Outlets Pumps changer
#Vemed Wall Furnaces Refrigerator Condenser TT_U�s
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER: Uln it,
cromit becomes md if work closioct....withme,la —nth period or work is suspended or abandoned nths.I botchy cenify that
0 is
t X. The Permit does not giveaname to be ne and nement. AH previsions of laws and ordinances governing thists
in application and know the I k w7illebe complied with whether specified or
as of my other none or local law regulation communion or Me performance of construction.
Imp"Ovmers Name --(,!!aN_&S Phone Number I P I LA - LA 100
4echanical Company 1�er
Office
44
:o.Address: W'�Rb
City StateEzip 39z&,
license Holder(Print): t -State Certification/Registration#_CRC,�15(I
lotdtrzzes[Stpa�ofLke-se Holder
TINA H,EYMEN Before me this Q da=Ok 4PV'�2
NOTARY PUBLIC
STATEOFFLORMA Signature of Notary Pubf
CO.", GG233131
I 0"w Expires 10/2112022