1753 Live Oak Ln ACRS19-0385 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
J
> PERMIT ACRS19-0385
o �r ISSUED: 11/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 5/23/2020
MUST CALL INSPECTION • i 90. FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT • 1 OF • ' D+ BUILDING
CODE, AND CITY OF ATLANTIC , CH 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1753 LIVE OAK LN MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 3.5 & $15600.00
HVAC 1.5 TON
TYPE OF •
ZONING: : • •
• • GROUP:
172020 0186 SELVA MARINA UNIT 06
COMPANY: ADDRESS:
A/C MASTERS HVAC INC 445 TRESCA ROAD#306 JACKSONVILLE FL 32225
• ADDRESS:
SCOTT JOSEPH M 1201 SEMINOLE RD 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.
r t
t
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 4SS-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
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
TOTAL:$127.00
Issued Date: 11/25/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r j, PERMIT ACRS19-0385
x, s ISSUED: 11/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 5/23/2020
Issued Date: 11/25/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 V'j-, V �>
.TOB ADDRESS: l C� V e- O c�K Int n-t PERMIT# ►`�� l " O 7�
PROJECT VALUE$
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity�_ Tons Per Unit 3, V ,1-15 /
Heat: Unit Quantity � BTU's Per Unit q, �,,c� 1/ oe� Seer Rating
Duct Systems: Total CFREQUIRED
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
FUZE 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/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 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 nn k U2r si A r- �o rft j ppsDD Phone Number
Mechanical Company A-1 C K+t.s- 1i 2,11, Office Phone-Ul�q `Fax
Co. Address: J� ;/L�f Ls, u , City��a r►/J D nyl& State Zip
License Holder(Print): s S• t e ication/Registration
Notarized Signature of License Holderll C - I
Sworn and subscribed before m is d, d&lof 20
DEBRA ANN HOISINGTON
'1 •:
MY COMMISSION 00 GG0319215 Signature of Notary Public
l � EXPIRES Octot�r 16,2020
• Receipt
ReceiptNumber
City of Atlantic Beach R11142
DESCRIPTION • QTY PAID
PermitTRAK $127.00
ACRS19-0385 Address: 1753 LIVE OAK LN APN: 172020 0186 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL11
Date Paid: Monday, November 25, 2019
Paid By: A/C MASTERS HVAC INC
Cashier: CT
Pay Method: CREDIT CARD 04535E
Printed: Monday, November 25,2019 12:27 PM 1 of 1