1075 Atlantic Blvd MCAC19-0011 hvac MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
f DETAILS PER BUILDING PLANS MCAC19-0011
"
ISSUED: 7/8/2019
PERMIT EXPIRES: 1/4/2020
MUST CALL INSPECTION • • • 1 PM FOR NEXT DAY • •
ALL i ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
CODE, ' AND OF ATLANTIC BEACH • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
LNOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
be found in the public records of this county, and there may be additional permits required from other
ental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: ��a VALUE OF WORK:
MECHANICAL COMMERCIAL
1075 ATLANTIC BLVD HVAC DETAILS PER BUILDING HVAC - 1 A/C, 1 AHU, 1 TON $2000.00
PLANS
TYPE OF
ZONING: :D •
• • GROUP:
177508 0000 SECTION LAND
COMPANY: ADDRESS:
B & G REFRIGERATION 3230 KLINE RD JACKSONVILLE FL 32246
• ADDRESS:
CAMPBELL VELMA KAHOE 1435 SCOTT RD JACKSONVILLE FL 32259
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 12000 $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
Issued Date: 7/8/2019 1 of 2
'''r • MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
DETAILS PER BUILDING PLANS MCAC19-0011
ISSUED: 7/8/2019
PERMIT EXPIRES: 1/4/2020
TOTAL:$91.00
Issued Date: 7/8/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �11CAL. -00
Phone: (904) 247-5826 Email: Building-Dept@cclab.us PERMIT#:
JOB ADDRESS: 1075 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233 PROJECT VALUE $2,000.00
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 1 Tons per Unit 1.0
Heat: Unit Quantity BTU's Per Unit 12 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 7 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
BOTHER: REMOVE EXISTING AND PROVIDE&INSTALL(1)MITSUBISHI 12,000 BTU MINI SPLIT
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:P000HES PLAYHOUSE Phone Number: (904)333.31131'"
Mechanical Company: B&G REFRIGERATION CO.,INC. Office Phone: (904)620-0081 Fax(904)620-9815
Co.Address: 3230 KLINE RD City: JACKSONVILLE State: FL Zip: 32246
License Holder: PATRICK BARGER State Certification/Registration # CAC1813635
Notarized signature of License Holder' ' k
The foregoin instrument was acknowledged b fore me thi S_day of 20 15 , in the State of Florida,
County of
Signature of Notary Public`( Dam AA P,(p
Notary Public State of Ficnaa Personally Known OR [ ] Produced Identification
y, Melissa Peek
My Corm ss on GG 266n Type of Identification:
�y Expires 14%2022 Updated 10/9/18
Cash Register Receipt Receipt Number
City of Atlantic Beach • • •
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $91.00
MCAC19-0011 Address: 1075 ATLANTIC BLVD APN: 177508 0000 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 12000 $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
• R9488 $91.00
Date Paid: Monday, July 08, 2019
Paid By: B & G REFRIGERATION
Cashier: CT
Pay Method: CREDIT CARD 00249G
Printed: Monday,July 08,2019 2:20 PM 1 of 1
TRAM