1673 Atlantic Beach Dr ACRS19-0055 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0055
PERMIT ISSUED: 2/25/2019
C CITY OF ATLANTIC BEACH EXPIRES: 8/24/2019
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:
1673 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL install 5-ton 60K-BTU AHU & $10995.00
HVAC 2K cfm duct system
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695051360 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:
LAURA COLEY
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.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-10010 0 $55.00
2 15
STATE DBPR SURCHARGE 455-0000-208-0700 0 $
Issued Date:2/25/2019 1 of 2
e MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0055
PERMIT ISSUED: 2/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/24/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$147.15
Issued Date:2/25/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 322')3
Ph(904)247-5826 Fax (904)247-5845
JoB ADDRESS:- A -3 liv-1- PERMff# RC�jj-03V3
PROJECT VALUE
NE W AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Jil—
Heat: Unit Quantity l BTU's Per Unit ff) Seer Rating
Duct Systems: Total CFM J�000 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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
It Vented Wall Furnaces Reffigerator 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 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 complied 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 performance of construction.
Property Owners Name Phone Number
Mechanical Company KsJ-f,,�j Office Phone 7)�-M,6a—x —7-1)4W1
j Sl�
Co. Address: W,5 1� - (,k City—)a, 1/t State Zip
License Holder(Print): Stat -�-,qAegistration 4(7 14 6
"19
Notarized Signature of License Holder
and subscribed before mdWs of 20) 9
DEBRAANN HOISINGTON SWOM
26
My COMMISSION#GG031 9 Signature of Notary Public �,Opt�
EXPIRES October 15.2020
5.VF
Cash Register Receipt Receipt Number
V
City of Atlantic Beach R8243
DESCRIPTION ACCOUNT QTY PAID 7
PerrnitTRAK $147.15
ACRS19-0055 Address: 1673 ATLANTIC BEACH DR APN: 169505 1360 $147.15
MECHANICAL $143.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
STATE SURCHARGES $4.15
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8243 $147.15
Date Paid: Monday, February 25, 2019
Paid By: A/C MASTERS HVAC INC
Cashier: CB
Pay Method: CREDIT CARD 9269e
040%
Printed:Monday, February 25,2019 11:58 AM 1 of 1 1