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1918 Hickory Ln ACRS19-0023 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER PERMIT ACRS19-0023 ISSUED: 2/5/2019 CITY OF ATLANTIC BEACH EXPIRES: 8/4/2019 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: 1918 HICKORY LN MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 4 TON $6000.00 HVAC TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1720201314 SELVA MARINA UNIT 12B COMPANY: ADDRESS: CITY: STATE: ZIP: SNYDER HEATING & AIR P 0 BOX 16826 JACKSONVILLE FL 32245 OWNER: ADDRESS: CITY: STATE: ZIP: BROWN LORRAINE 1918 HICKORY LN 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 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. 0 DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT AC AND REFRiGERATION 455-0000-322-1000 4 $32.00 FURNACES AND HEATING 455-0000-322-1000 48000 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE CIBPR SURCHARGE 455-0000-208-0700 0 $j2�OO STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date:2/5/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0023 PERMIT ISSUED: 2/5/2019 CITY OF ATLANTIC BEACH EXPIRES: 8/4/2019 TOTAL:$115.00 Issued Date:2/5/2019 2 of 2 01/30/2019 16: 18 9046412329 SNYDER A/C PAGE 02/02 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEA04 800 Seminole Rd Atlantic Beach, FL 3224--� Ph (904)247-5826 Fax (904) 247-5845 . Cj- 9 -co z 3 FoB ADDRESS: PERMJT PROJECT VALUE S ARI9 REQUIRED Air Handling Equipment Only __)!�Alr Handling Unit & Co#I idenser Condenser Only 4EW AIR CONDITIONING & HEATING SYSTEM INSTALI�IATION Air Conditioning: Unit Quantity -Fons Per Unit A Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFNI REQUIRED MPLACEMENTAIR CONDITIONING & HEATING SYSTE,,'O INSTALLATION Air Conditioning. Unit Quantity Tons Per Unit Heat: Unit Quantity — i 3TU's Per it Seer Rating &P Duct Systems: Total CFM REQUMED 1RE PREVENTION Fire Sprinkler System Quantity (Requir0s 3 sets of plans) Fire Standpipe Quantity (Requir6 3 sets of plans) Underground Fire Main Value (RequikJg 3 sets, of plans) Fire I-lose Cabinet,-, Quantity (Requir0s 3 sets of plans) Commercial Hoods Quantity (Requir`08 3 sets of plans) Fire Suppression Systems Quantity (RequirO� 3 sets of plans) 1RE PLACES MISCELLANEt!)US: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalatom— LLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps 4 Vented Wall Furnaces Reffigerator Condcn�Ner BTMs Water Heaters Solar Collection Sys!"ems Tanks (gallons) OTHER: rmitbecorres-void if work docs notcommcnce within a,,A'Xrnon& period or work is sLispended or abari&�ied f0TSjX months,I hereby cettify that I hnvc read is application and know the wnc to be true Arkd correct. All pmvisiom,of laws and ordinances governingAis work will I)e complied with whether specificd or i. Tlw perinit does Tiot give akilthorjt3!to violate the provisions of any othcr e or local law regwation c(',n'Ftn0Won or tht�PcTformanc�o of construc6on, ate ,operty Ommers Name Phone Number .echanical Company........ Officc'Phone .&��OoFax (.ql Address: k" City e-1 State,�I- zip -r�� cense Holder (Print): C i-rickion/Registration -CANS 1321`31- 7farized Signature of License Holder HOLLYA FOUST Before me this 3�� day of �-Tialyvl 20 MYCOMWS810NIFF98M - W1Rf:$:July 21,2oZ �ru BWM N-OK7 "I Mf,ell- Signature of Notary Public Receipt Number Cash Register Receipt City of Atlantic Beach R8057 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $115.00 ACRS19-0023 Address: 1918 HICKORY LN APN: 172020 1314 $115.00 MECHANICAL $111.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 FURNACES AND HEATING 455-0000-322-1000 48000 $24.00 AC AND REFRIGERATION 455-0000-322-1000 4 $32.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R8057 $115.00 Date Paid:Tuesday, February 05, 2019 Paid By: SNYDER HEATING &AIR Cashier: LE Pay Method: CREDIT CARD 2 Printed:Tuesday, February 05,2019 1:11 PM 1 of 1