2217 Alicia Ln ACRS24-0337 application ALL
� ONMechanicalPermitApplication HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Road, Atlantic Beach, FL 32233 paslz l--0331
Phone: (904) 247��-5826 Emypail: Building-Dept@coab.us PERMIT R: 12L5
2y ' O(D j
JOB ADDRESS: 2 2 \1 �l.t," 7 . PROJECT VALUE $ I S 9Y S•
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARl#(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
=Conditiaomnl
IR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Equipment Onl ;,[ _ ❑ rrderyn-_nixS/' c ❑Air Handling Unit& Condenser
Unit Quantit�Toflf ¢'r� it7 Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Total CFM ?X00f�O
El FIRE PREVENTION Cr� I% !vpj,�R oN(.$) 7smmcFM /IzloCPstn
Fire Sprinkler System Quantity (Requires 1 set of digital plans)
Fire Standpipe Quantity (Requires 1 set of digital plans)
Underground Fire Main Value (Requires 1 set of digital plans)
Fire Hose Cabinets Quantity (Requires 1 set of digital plans)
Commercial Hoods Quantity (Requires 1 set of digital plans)
Fire Suppression Systems Quantity (Requires 1 set of digital plans)
r-1 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)
Llt]OTHER: '7� 11 2 �j 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 1 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. / ...,�
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Owner Name: (.JL•�.�bi �7aa—D�7bxB0/.'-..ilA91144 'o� Phone Number: ?AV-SVT- 7f;'d0
Mechanical Company: �" Office Phone:SOY j7 9 Fax
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Co.Address: row ON City: (j;p.iol State: Zip: gzje�tca
License Holder: —State C ification/Registration It d:�4el8�877 /
Notarized Signature of License Holder
The foregoiny�Mt ;ent was acknowledged before me this Lin ay of o )1 20�in the State of Florida,
County of
Signature of Notary Public !'
M..
p ._ IADAYUANiCHOLs [ 1 Personally Known OR [ mduced�den[ification
ktycommissloNa101118065 Type of Identification:EafZ1r
"' EXPIRES:FeMw'Y8,2026 Updatetl3p/]I/23
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS24-0337
ISSUED: 8/28/2024
„ CITY OF ATLANTIC BEACH EXPIRES: 2/24/2025
INSPECTIONMUST CALL • t , FOR 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
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.
• • • rr • r • • • •
2217 ALICIA LN MECHANICAL RESIDENTIAL Duct System $15995.00
HVAC
TYPE • BUILDING
• SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169519 0760 TIFFANY BY THE SEA
COMPANY: rr •
COOLER BEAR HEAT&AIR 86418TH ST N JACKSONVILLE FL 32250
LLC BEACH
• ADDRESS: CITY: STATE: ZIP:
MASHOD SIAMAC 2217 ALICIA LN ATLANTIC BEACH FL 32233-5975
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.
CONDITIONSLIST OF
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 32M $36.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $5500
STATE DBPR SURCHARGE 455-0000-208-0)00 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $200
TOTAL:$95.00
IIssued Date:8/28/2024 1 of 2