675 Atlantic Blvd MCAC19-0017 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SHORELINE PROPERTY
MANAGEMENT INC 675 ATLANTIC BLVD ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
NORTHPORT
CONSTRUCTION GROUP
dba NORTHPO
2905 SPRING PARK RD JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170659 0010 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
675 ATLANTIC BLVD
MECHANICAL COMMERCIAL
HVAC DETAILS PER BUILDING
PLANS
HVAC - 1 A/C, 1 AHU, 2 TON
- UNIT 4 $3500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22200 $24.00
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: 5/8/2023
PERMIT NUMBER
MCAC19-0017
ISSUED: 5/8/2023
EXPIRES: 11/4/2023
MECHANICAL COMMERCIAL HVAC
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
MECHANICAL BASE FEE 455-0000-322-1000 0 $9.90
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: $108.90
2 of 2Issued Date: 5/8/2023
PERMIT NUMBER
MCAC19-0017
ISSUED: 5/8/2023
EXPIRES: 11/4/2023
MECHANICAL COMMERCIAL HVAC
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED IN
ti City of Atlantic Beach Building Department GRAY IS REQUIRED.
Y
ji 800 Seminole Rd, Atlantic Beach, FL 32233 11\1\C— \(-2-(9 _00 l 7L-Phone: (904)
1
247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: G T5 r' '1 0 '81Vci at t i-c. ti- A PROJECT VALUE $ Si Soo,
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!ft(REQUIRED)
0 Air Handling Equipment Only Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duc ystems:Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!tt(REQUIRED) °I t(:)/ I
Air Handling Equipment Only 0 Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit '- L(
Heat: Unit Quantity BTU's Per Unit 22/2°Seer Rating (REQUIRED)
Duct Systems:Total CFM
I IFIRE 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 IT MISCELLANEOUS:
Prefabricated Fireplace (Qty)Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
It Vented Wall Furnaces Refrigerator Condenser BTUs
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.
Owner Name: 5110 fke(`n (--- rp
l
e-kan2sT.I. ) l VI C. Phone Number:N14) 324-55
Mechanical Company: AJOR-L'1 rZ.' C * UL `J (3\i"t4-iOffice Phone: q-31-8247c Fax 43 1 "gZyi
Co.Address: 2.#95 SpA"6nJ '
C ' ' City: `A-h State: Ti-• Zip: 3 -Z'o3`
License Holder: '- -kuCt VS-PitK'p' State Certification/Registration# ClC.12.5.03c1
Notarized Signature of License Holder
The fore o}}t,p instr ment was acknowledged before me this 4O d of ` tet- , 20 l\ in the State of Florida,
County of .
Signature of Notary Public
STEPHANIE MITCHELL
J*11'
PerC sonally Known OR [ ] Produced Identification
i r _STATE OF FLORIDA Type of Identification:L' Comae GG295632 Updated 10/9/13
Expires 1r28/2023
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