770 AMBERJACK LN ACRS24-0286 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
LIGNELLI HOLLY GALLO 770 AMBERJACK LN ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
A1A HEAT & AIR 388 33rd AVE S JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171131 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
770 AMBERJACK LN MECHANICAL RESIDENTIAL
HVAC
HVAC - 1 A/C, .75 TON WITH
DUCT WORK $3970.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
FURNACES AND HEATING 455-0000-322-1000 1 $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
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: 7/22/2024
PERMIT NUMBER
ACRS24-0286
ISSUED: 7/22/2024
EXPIRES: 1/18/2025
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $103.00
2 of 2Issued Date: 7/22/2024
PERMIT NUMBER
ACRS24-0286
ISSUED: 7/22/2024
EXPIRES: 1/18/2025
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $103.00
ACRS24-0286 Address: 770 AMBERJACK LN APN: 171131 0000 $103.00
MECHANICAL $99.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
FURNACES AND HEATING 455-0000-322-1000 1 $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: R27615 $103.00
Printed: Monday, July 22, 2024 9:10 AM
Date Paid: Monday, July 22, 2024
Paid By: A1A HEAT & AIR
Pay Method: CREDIT CARD 10058380934
1 of 1
Cashier: AG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R27615
Mechanical Permit ApBlication
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247 -5825 Email: Building-Dept@coab.us
**ALL INFORMATION
HIGHLIGHTED IIS
GRAY IS REQUIRTD,
PERMIT #:
JOB ADDRESS:PR0JHcr VALUE s 3q7Q
ELwew ArR cor\tDrnoNtNc & HEATTNG sysrEM rNsrALrATroN ARt # {REeutRED)z\oT7 8q63
n Air Handling Equipment Only r: Condenser Only
Air Conditioning: Unit Quantity Tons per Unit j'+
Heat: Unit Quantity t BTUs per Unit -3lr,i-
-Duct Systems: Total CFM 3f3
B, Air Handling Unit & Condenser
fl nrplAcEMENT AtR coNDrnoNrNG & HEATTNG sysrEM rNsTAt-LATlor$ ARt # (REeutRED)
J Air Handling Equipment Only
Air Conditioning: Unit Quantity
n Condenser anly a Air l-landling Unit & Condenser
Tons per Unit
L] nnr PREVENTToN
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
I rtnr PLAcES
flnu- orHER GAs PTPTNG
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
Heat:
Duct Systems:
Unit Quantity
Total CFM
BTU's Per Unit
I rvuscELLANEous:
Automobile L.ifts
Boilers
Quantity
Quantity
Value
Quantity
Quantity
Quantitv
Prefabricated Fireplace (aty)--
Gas Piping Outlets B'l-Us
E levators/Esca lato rs
Heat Exchanger
Pumps
.Refrigerator Con denser
Solar Collection Systems
Tanks (gallons)
Wells
BTUs
Seer Rating (REQU\REDj _13+-
Seer Rating (REQUIRED)
(Requires L set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires L set of digital plans)
(Requires 1 set of digital plans)
(Requires L set of digital plans)
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. lhereby
certify that I have read this application and knowthesameto betrueand correct. All provisions of laws a nd ord ina nces governing th is
work will be complied with whether specified ornot. The permit does not give a uthority to violate the provisions of any other state or
local law regulation construction or the performance of construction.
Mechanicat Compary, A(ft Hts.I\f 4 At€- _-_ office phone:g0ffi ra*
co.Address: 38BSalsAu,El city:sAil6ctt state:El-zip: 3223)
License Holder:St a i e Ce rt i f i c a t i o n / R e g i st ra t i c n # CAe{ g I nqTS:_.
ate of F
updoted. l0/11/23
Notarized Signoture of License Halder
KPersonally Known OR t I P
#ffiff*;Type bf tdentification :
the S
i
The instrument was acknowl me this K day of
Signature of Notary Public
County