1021 Atlantic Blvd Unit 991 MCAC21-0039 Exhaust Fan s
'':°-''' MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
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DETAILS PER BUILDING PLANS MCAC21-0039
:r ISSUED: 10/12/2021
,,; PERMIT EXPIRES: 4/10/2022
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:
1021 ATLANTIC BLVD Unit MECHANICAL COMMERCIAL Replace Exhaust Fan, #991
991 HVAC DETAILS PER BUILDING UNIT 15 $1200.00
PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA COMFORT, INC. 5913 ST AUGUSTINE RD JACKSONVILLE FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP:
EQUITY ONE ATLANTIC NORTH MIAMI
1600 NE MIAMI GARDENS DR FL 33179
VILLAGE INC BEACH
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.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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:$59.00
Issued Date: 10/12/2021 1 of 2
Mechanical Permit Application **ALL INFORMATION
i �� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
• 800 Seminole Rd, Atlantic Beach, FL 32233 /'� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#(1)14(.21-7-A9-
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JOB ADDRESS: I 0 2 1 ATL ttiT1 C- (3L VD LP. l t �/, PROJECT VALUE// ZOz,
1 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
I REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑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 BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
OTHER: ) ,CCC _ x-E(LARcTi---Wells.
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. /'
Owner Name: *F QU ,1l y' on.e.- 1 A 1 ►JTl L Via 71G El (NL Phone Number:4t/-Y66"2-72-2-
Mechanical
Z7uMechanical Company: f /22/),1 �'c.4-1/CJ27- -Z-A-(._ Office Phone: ?6'i' 7f3 7o ,7 Fax 7j7�C)U,W
Co. Address: _5 9/3 -t/ 5-/— Azesi.0-Th-t ,Q id City: Jack rt,/./fes State: Zip: .?22 67
License Holder: He. kikr'cit -1) �reli:feV -/Tc/ State rtification/Registration# c--1--e-G ?ZS--
Notarized
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Notarized Signature of License Holder ��� --/ 16A; 3 i/� �
The foregoing instrument was acknowledged before me this/I 2 day of 0 Cl _ , 20 ZI in the State of Florida,
County of p ,`e
illanaP
••;,w�P •. CHRISTUINGILES
Signature of Notary Public (i /W,
.. j• MY COMMISSION#HH 117153
fii �� PersonallyKnown OR [`Produced Identification
:a:..�.la: EXPIRES:Apd113.2025 [ �
"'•'•:FO%.,.�"• Bonded ThruNotaryPubic lnWelw rs Type of Identification: FL. D L,
Updated 10/9/18