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1625 ATLANTIC BLVD ACRS25-0198 Permit Form with Conditions Updated 10/9/18 Mechanical Permit Application **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________ JOB ADDRESS: ______________________________________________ PROJECT VALUE $_____________________ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (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 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) ________________ □ Air Handling Equipment Only □ Condenser Only □ Air Handling Unit & Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTU’s Per Unit Seer Rating (REQUIRED) _________ Duct Systems: Total CFM FIRE 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 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) 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 go verning 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: ____________________ _______ Phone Number: Mechanical Company: Office Phone: _________________ Fax Co. Address: City: State: Zip: License Holder: _______ ___ State Certification/Registration # Notarized Signature of License Holder The foregoing instrument was acknowledged before me this _____day of ___________, 20___, in the State of Florida, County of _________________ Signature of Notary Public __________________________________________________ [ ] Personally Known OR [ ] Produced Identification Type of Identification: _____________________________________________________ Duval  1625 Atlantic Beach Drive Atlantic Beach, FL 32233 3500.00 4 209832271 4 1 2 1 22400 16 Adam Leopold 9498384783 Donovan Heat, Air, & Electric (904) 241-3785 315 6th Ave S Jax Beach FL 32250 William Donovan II CAC058398 ACRS25-0198 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $99.00 ACRS25-0198 Address: 1625 ATLANTIC BEACH DR APN: 169505 1080 $99.00 MECHANICAL $95.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 2 $16.00 FURNACES AND HEATING 455-0000-322-1000 24000 $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: R30675 $99.00 Printed: Tuesday, May 27, 2025 2:34 PM Date Paid: Tuesday, May 27, 2025 Paid By: Donovan AC & Electric Pay Method: CREDIT CARD 10 1 of 1 Cashier: NA Cash Register Receipt City of Atlantic Beach Receipt Number R30675 OWNER:ADDRESS:CITY:STATE:ZIP: ADAM LEOPOLD AND JENNIE D LEOPOLD FAMILY TRUST 1625 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233- COMPANY:ADDRESS:CITY:STATE:ZIP: Donovan AC & Electric 315 6TH AVENUE SOUTH JACKSONVILLE BEACH FL 32250 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169505 1080 ATLANTIC BEACH COUNTRY CLUB UNIT 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1625 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL HVAC HVAC: 1 A/C 2 TONS, 1 AHU $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 24000 $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: 5/27/2025 PERMIT NUMBER ACRS25-0198 ISSUED: 5/27/2025 EXPIRES: 11/23/2025 MECHANICAL RESIDENTIAL HVAC PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 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: $99.00 2 of 2Issued Date: 5/27/2025 PERMIT NUMBER ACRS25-0198 ISSUED: 5/27/2025 EXPIRES: 11/23/2025 MECHANICAL RESIDENTIAL HVAC PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD