150 Club Dr ACRS19-0368 ri"' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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rACRS19-0368
.,. PERMIT
V ISSUED: 11/8/2019
-P-4,- �, CITY OF ATLANTIC BEACH EXPIRES: 5/6/2020
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:
150 CLUB DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TONS $4999.00
HVAC
TYPE OF REAL ESTATE ZONING: 1 BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170318 0000 CLUB MANOR
COMPANY: ADDRESS: CITY: STATE: : ZIP:
A/C DESIGNS OF ST 3370 AGRICULTURE CENTER DR ST.AUGUSTINE FL 32092
AUGUSTINE
OWNER: ADDRESS: CITY: STATE: ZIP:
RADY LOUISE R 150 CLUB DR ATLANTIC BEACH FL 32233-5420
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 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34800 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 11/8/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0368
' PERMIT
�� )- ISSUED: 11/8/2019
\ A-___./
t-/' CITY OF ATLANTIC BEACH EXPIRES: 5/6/2020
TOTAL: $107.00
Issued Date: 11/8/2019 2 of 2
MECHANICAL PERMIT APPLICATION
OCITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 (�
JOB ADDRESS: 150 CLUB DR PERMIT# l�ps f 9- O 3 6E
PROJECT VALUE $4ift' ARI#aod i4 T3f REQUIRED
__ Air Handling Equipment Only X Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: I;nit Quantity Tons Per Unit _
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: 'Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: 1:nit Quantity 1 Tons Per Unit 3 _ 16
Heat: Unit Quantity 1 BTU's Per Unit .34 Soo Seer Rating
Duct Systems: "Total CFM N/A 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 Floods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qtv 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:
'crmit 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
his application and know the same to he true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
tut. The permit docs not give authuritto violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name_LUI FF RADY Phone Number 904-716-1252
Mechanical Company .1.0 DJ; SIGNS INC Office Phone 904-829-8898 Fax904-829-6587
o. Address: 3370 AGRICULTURAL CENTER DR City ST AUGUSTINE State FL Zip 32092
License Holder(Print): EDWARD 'ENNAIgT State Certification/Registration# CAC1813372
-
Votarized Signature of License Holder _ , '7,47---
'%
Before me this '/�I� day of r v DO n 20 19
xxnalb.i:R"� GUY D.PRICE (Signature of Notary Public.„...4,,,,
,y :. Notary Public State of Florida
,� pi Commission#GG 333956 6 4
'.or ry ' My Comm.Expires Sep 5,2023
1 Bonded through National Notary Assn.
s Cash Register Receipt Receipt Number
!iv is
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~ City of Atlantic Beach 41, R11014
JR19'"
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $107.00
ACRS19-0368 Address: 150 CLUB DR APN: 170318 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34800 $24.00
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: R11014 $107.00
Date Paid: Friday, November 08, 2019
Paid By: A/C DESIGNS OF ST AUGUSTINE
Cashier: CT
Pay Method: CREDIT CARD 06469Q
Printed: Friday, November 08,2019 9:01 AM 1 of 1