885 AMBERJACKLN ACRS25-0029 Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
TOM WALL 1225 LINKSIDE DRIVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
WHITLEY'S HEATING AND
AIR LLC
13720 Old St. Augustine Rd suite 8-
312 Jacksonville FL 32258
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171179 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
885 AMBERJACK LN MECHANICAL RESIDENTIAL
HVAC HVAC - 1 A/C, 1 AHU, 3 TON $7836.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $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: 1/27/2025
PERMIT NUMBER
ACRS25-0029
ISSUED: 1/27/2025
EXPIRES: 7/26/2025
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $107.00
2 of 2Issued Date: 1/27/2025
PERMIT NUMBER
ACRS25-0029
ISSUED: 1/27/2025
EXPIRES: 7/26/2025
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Name PhonePROPERTY OWNER
JOB ADDRESS PROJECT VALUE $
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
State Certification/Registration#
ZipStateCityAddress
PhoneNameMECHANICAL COMPANY
NOTICE: Permit becomes expired if work does not commence within a six month period or work is suspended or abandoned for six
months. 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.
License Holder
FOR INTERNAL OFFICE USE ONLY
PERMIT # ____________________
"In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of
perjury, I declare that I have read and examined the foregoing application and that the facts stated in it are true and correct."
Air Handling Equipment Only
Air Conditioning:Unit Quantity
ARI # (REQUIRED)
Other:
MECHANICAL PERMIT APPLICATION
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904)247-5826 Email: Building-Dept@coab.us
Condenser Only Air Handling Unit & Condenser
FIRE PREVENTION
QuantityFire Sprinkler System (Requires 1 set of digital plans)
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
Gas Tanks
Fireplace
Generator
# Vented Wall Furnaces
Quantity of Outlets
ALL OTHER GAS PIPING
# Water Heaters Pre-fabricated Fireplace
Heat:
Duct Systems:
Unit Quantity
Total CFM
Tons per Unit
BTU's per Unit
Seer Rating (REQUIRED)
Solar Collection Systems
MISCELLANEOUS
Quantity
Value
Quantity
Quantity
Quantity
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
Seer Rating (REQUIRED)Total CFMDuct Systems:
BTU's per UnitUnit QuantityHeat:
Tons per UnitUnit QuantityAir Conditioning:
Air Handling Unit & CondenserCondenser OnlyAir Handling Equipment Only
ARI # (REQUIRED)NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Tom Wall 904-885-9597
CAC1816441
32258FLJacksonville6695 Colray Ct Suite 301
904-626-6675Whitley's Heating and Air
Raymond Whitley
1
210998689
1
3
36,000
14.3