594 Cruiser Ln ACRS19-0173 MiniSplit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0173
PERMIT
i ISSUED: 5/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/12/2019
INSPECTIONMUST CALL . I , FOR DAY INSPECTION.
ALL WORK MUST CONFORM . THE CURRENT 6TH EDITIONr
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 IT,
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
594 CRUISER LN MECHANICAL RESIDENTIAL INSTALL MINI-SPLIT FOR $4500.00
HVAC GLASS ROOM ADDITION
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170703 0330 SEASPRAY
COMPANY: ADDRESS:
TROPIC AIRE OF NORTH 9969 OLD KINGS RD JACKSONVILLE FL 32219
FLORIDA
ADDRESS:
KINSEYJERRYA 594 CRUISER LN ATLANTIC BEACH FL 32233-4115
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 PAID AMOUNT
AC AND REFRIGERATION 455-0000.3221000 115 5800
MECHANICAL BASE FEE 455 WOO 322-100 0 $5500
STATE DEER SURCHARGE 455 DOW 208-07M 0 $2,00
STATE DCA SURCHARGE 455-0006208-OEOO 0 $200
TOTAL:$67.00
Issued Date:5/16/2019 1 of 2
May 1419 08:07a p.1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: 59`{ CYurSer In. RC�sI� -of�3
PFJUMT#
PROJECT VALUES `ly ARI# �'II 54"
EQUlRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity�_ Tons Per Unit /,
Heat: Unit Quantity BTU's Per Unit Seer Rating dq-06
Duct Systems: Total CFM . REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
HewDuct:Systems: T� Cnit CFF'Mhty BTU's Per Unit Seer RatmeREQUIRED
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 QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Fscalatom
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: tN?hr4/i'f- d?7/57fy
/1/pa �P otlzlrh SULL 4L Perm,f A-cig-0,0n�F
Permit becomes void if work does nal commence within a she month period or work is suspended ar abandoned for sin months I hereby certify that f leve rry
this application and know the scone b be nue and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or mol. The pamitdoes riot give authority to violate the provisions of any uharslme or local law regulation wnstmelion"the performarms ofconstntclim.
Property Owners Name_LJ//S Inj'eV Phone Number 2W-/S-2y
Mechanical CompanyG Office Phone 7/ Fax 7G5=1!
Co. Address: '79// f3q d +�irr r .� City up?x State t GL Zip 32z,tl-
License Holder(Print). C,) - L. Jr, Stene Cerrtification/Registzation# C -3 f
Notarized Signature of License Holder k
tAarrkMccer Sworn an s ed .fore me thi day of 204
`P` _ Notary P.etir•Sisk of Fnrldr
c�n•mmiPlasc zzzm
Signature
ofNo�o.�.� Public
r_p My Csr.E.Pires,Wa 17.Ion ...`J
3onded Ilrougn Manorial awry AAI.
nReceipt
,I
0.
City of Atlantic Beach
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $67.00
ACRS19-0173 Address: 594 CRUISER LN APN: 1707030330 $67.00
MECHANICAL $63.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
$TATE SURCHARGES $4.00
STATE DBPR SU RCHARG E 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID 91 .9 $67.00
Date Paid:Thursday, May 16, 2019
Paid By:TROPIC AIRE OF NORTH FLORIDA
Cashier:CT
Pay Method: CREDIT CARD 016655
Printed:Thursday,May 16,2019 2:17 PM 1 of 1
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