527 ATLANTIC BEACH CT - HVAC rii,,,i, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
'fr. +�� ACRS19-0168
PERMIT ISSUED: 5/10/2019
Arm 9'1' CITY OF ATLANTIC BEACH EXPIRES: 11/6/2019
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
527 ATLANTIC BEACH CT MECHANICAL RESIDENTIAL install two 1.5-ton 18K-BTU $6950.00
HVAC AHUs & 4-ton 48K-BTU AHU
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1415 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA AIR SERVICE & 150 HILDEN ROAD, #308 PONTE VEDRA FL 32081
ENGINEERING
OWNER: ADDRESS: CITY: STATE: ZIP:
MICHAEL AND HOLLY 1661 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
IZARD
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.
I
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
rempr: DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 7 $56.00
FURNACES AND HEATING 455-0000-322-1000 84000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 5/10/2019 1 of 2
1
o' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
'
- ;s PERMIT ACRS19-0168
ISSUED: 5/10/2019
I ,. CITY OF ATLANTIC BEACH EXPIRES: 11/6/2019
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.09
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$143.09
Issued Date: 5/10/2019 2 of 2
i
S 1-A1Pr
's t Cash Register Receipt Receipt Number
6v City of Atlantic Beach R9017
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DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $143.09
1 ACRS19-0168 Address: 527 ATLANTIC BEACH CT APN: 169505 1415 $143.09
MECHANICAL $139.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 7 $56.00
FURNACES AND HEATING 455-0000-322-1000 84000 $28.00
STATE SURCHARGES $4.09
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.09
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9017 $143.09
Date Paid: Friday, May 10, 2019
Paid By: FLORIDA AIR SERVICE & ENGINEERING
Cashier: CT
Pay Method: CREDIT CARD 6
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Printed: Friday, May 10,2019 1:43 PM 1 of 1
MAW
- -. Mechanical Permit Application ..ALL INFORMATION N
/,'r/t- HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 AC�StR-o(0 fc
\ % �' RES18-0407
''-', Phone: (904) 247-5826 Email: Building;-Dept@coab.us PERMIT
JOB ADDRESS: 527 ATLANTIC BEACH CT PROJECT VALUE$6950.00
0 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI/1(REQUIRED) 1.5-9162108/4-9162789
❑Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 3 Tons per Unit 2-1.5/1-4 ton
Heat: Unit Quantity 3 BTUs per Unit 2-18000/1-48oc Seer Rating(REQUIRED) 14
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI II(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only 0 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
nFIRE 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 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
r Gas Piping Outlets Boilers BTUs
Elevators/Escalators
nALL OTHER GAS PIPING Heat Exchanger
0 Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
1 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: dostie homes, Ilc Phone Number:
Mechanical Company: Florida Air Service&Engnineering Office Phone: 9048239696 Fax9048239995
Co.Address: 150 hilden road#308 City: ponte vedra State: fl Zip: 32081
License Holder: John H. Sasser State Certification/Registration# CAC051487
Notarized Signature of License Holder i t-O�• /4. c.j1i- _''`tiG
20 1 I, in the State of Florida,
The foregoin instr was acknowledged before me this y �i 4•
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County of
Signat of Notary Pu lic - I' — 1
[ ersonally Known OR [ Pr.., :• :'r�� • s� \dXa "` j" a'
r se' �a400ldes�W'Nc0 yJti ..„,. :::
Type of Identification: , _ •
9 qH�3 Updated 10/9/18
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