1735 Maritime Oak Dr ACRS19-0224 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
"SS
ACRS19-0224
PERMIT
ISSUED: 6/27/2019
r;119' CITY OF ATLANTIC BEACH EXPIRES: 12/24/2019
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:
1735 MARITIME OAK DR MECHANICAL RESIDENTIAL HVAC - 3 A/C, 3 AHU, 2-1.5 $14295.00
HVAC TON & 3 TON
TYPE OF REALIESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 1785 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP.
A/C MASTERS HVAC INC 445 TRESCA ROAD 4306 JACKSONVILLE FL 32225
ADDRESS: CITY: STATE: �AIM
LONDON W6 9TG
RUNQUIST ERIC WILLIAM 9 WELTJE RD UNITED KINGDOM
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
[R7olloff 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 4SS-0000-322-1000 6 $48.00
FURNACES AND HEATING 4SS-0000-322-1000 S4000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
Issued Date: 6/27/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, Fl,32233
Ph(904)247-5826 Fax(904)247-5845 0 4-
JoBADDREss: PERMrr# k�5410qq
PROJECTVA-LUE $
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 0/,6*4 3
Heat: Unit Quantity BTU's Per UnitQ 0=00 ij X Seer Rating 11-6-,
Duct Systems: Total CFM REQU]RED
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)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
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:
Permit becomes void if work does not commence within a six month period or work is susperided 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 ority to violate the provi ions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Mechanical Company A ) fLiu 4-cya M_e, —Off ice Phone& A"fax- U-&V
30,6 city �,fdk /j Zi
RIta- j � - r�__ State )�
Co. Address: di e P
License Holder(Print): C kA Atate COU t- /Registration# clk 103B�,
Notarized Signature of License Holder
Sworn and subscribed befo s f Tt,- ,C. 20
�p Ivic
DEBRAANN HOISINGTON
My cOMMISSION 0 GG0319 Signature of Notary Public
11F
VEXPIRES octowr 15,2020
Cash Register Receipt Receipt Number
City of Atlantic Beach R9427
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $135.00
ACRS19-0224 Address: 1735 MARITIME OAK DR APN: 169505 1785 $135.00
MECHANICAL $131.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 4SS-0000-322-1000 6 $48.00
FURNACES AND HEATING 455-0000-322-1000 54000 $28.00
STATESURCHARGES $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: R9427 $135.00
Date Paid:Thursday,June 27, 2019
Paid By: A/C MASTERS HVAC INC
Cashier: CT
Pay Method: CHECK 57752
Printed:Thursday,June 27,2019 10:12 AM 1 of 1 Ir