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1071 Atlantic Blvd Keller Williams MCAC22-0001 DuctOWNER:ADDRESS:CITY:STATE:ZIP: 1071 ATLANTIC JAX OWNER LLC 4923 CYPRESS ST W TAMPA FL 33607 COMPANY:ADDRESS:CITY:STATE:ZIP: M A KELLY GROUP LLC 641 Picasso AVE PONTE VEDRA FL 32081 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 177411 0040 SECTION LAND JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1071 ATLANTIC BLVD MECHANICAL COMMERCIAL HVAC DETAILS PER BUILDING PLANS Duct work (13000 CFM) for: INT BUILDOUT KELLER WILLIAMS $40000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AIR DUCT SYSTEM 455-0000-322-1000 13000 $96.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.27 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 1/26/2022 PERMIT NUMBER MCAC22-0001 ISSUED: 1/26/2022 EXPIRES: 7/25/2022 MECHANICAL COMMERCIAL HVAC DETAILS PER BUILDING PLANS PERMIT CITY OF ATLANTIC BEACH TOTAL: $155.27 2 of 2Issued Date: 1/26/2022 PERMIT NUMBER MCAC22-0001 ISSUED: 1/26/2022 EXPIRES: 7/25/2022 MECHANICAL COMMERCIAL HVAC DETAILS PER BUILDING PLANS PERMIT CITY OF ATLANTIC BEACH DESCRIPTION ACCOUNT QTY PAID PermitTRAK $155.27 MCAC22-0001 Address: 1071 ATLANTIC BLVD APN: 177411 0040 $155.27 MECHANICAL $151.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AIR DUCT SYSTEM 455-0000-322-1000 13000 $96.00 STATE SURCHARGES $4.27 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.27 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R18605 $155.27 Printed: Wednesday, January 26, 2022 2:51 PM Date Paid: Wednesday, January 26, 2022 Paid By: M A KELLY GROUP LLC Pay Method: CREDIT CARD 579257265 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R18605 MCAC22-0001