325 9th St ACRS20-0016 r '�`'''%��� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,"" ACRS20-0016
PERMIT
CISSUED: 1/16/2020
�; �, CITY OF ATLANTIC BEACH EXPIRES: 7/14/2020
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:
325 9TH ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 $9600.00
HVAC TONS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170036 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
A/C MASTERS HVAC INC 445 TRESCA ROAD #306 JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
FRIEDERICHS BRIAN PHILIP 378 6TH ST 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $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
TOTAL:$107.00
Issued Date: 1/16/2020 1 of 2
,',"'",-.''''.(4, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
_ �' PERMIT ACRS20-0016
,.
Ay R4 ISSUED: 1/16/2020
�;;„i. CITY OF ATLANTIC BEACH EXPIRES: 7/14/2020
Issued Date:1/16/2020 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
JOB ADDRESS: 3o 5 "{ o Sf ►' e G)- PERMIT# kG s -19- �
PROJECT VALUE $ '7 (� 00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 3 / -
Heat: Unit Quantity BTU's Per Unit 36 01)7 Seer Rating0
Duct Systems: Total CFM i ) 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
#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 autko'ty to violate the isions of any other state or local law regulation construction or the performance of construction.
Property Owners Name rhi l i i s Ji4.1 J d irs Phone Number 9O ' 7 ?9(17
Mechanical Company A-) C /' S i 14 ) =�'k c Office Phone 7 U- 99SFax
`7
70�L 4�y
Co.Address: '7 5 � 1 t.�, R Si4.i 3 V b City ra4/14.10nui 1�c State it Zip <-501.12r
License Holder(Print): C a tate a Z. _.• I ' •_'stration#CACI 9/3 i0
Notarized Signature of License Holder _
Sworn and subscribed before m 's ► .f J O v 20
DEBRA ANN HOISINGTON ignature of Notary Public I /
• MY COMMISSION 0 GG031926
'�° EXPIRES October 16,2020
f,S.-L�J
14 Cash Register Receipt Receipt Number
'� v City of Atlantic Beach R11489
\''.-'-....401119''___./�
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $107.00
ACRS20-0016 Address: 325 9TH ST APN: 170036 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 36000 $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: R11489 $107.00
Date Paid: Thursday, January 16, 2020
Paid By: A/C MASTERS HVAC INC
Cashier: CT
Pay Method: CHECK 58503
or
Printed:Thursday,January 16,2020 12:48 PM 1 of 1 113