675 Atlantic Blvd MCAC19-0018 Unit 7 1410" MECHANICAL COMMERCIAL HVACPERMIT NUMBER
`+ �� MCAC19-0018
� ` �` DETAILS PER BUILDING PLANS
��`' ,/- ISSUED: 12/20/2019
JL
��� PERMIT EXPIRES: 6/17/2020
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:
MECHANICAL COMMERCIAL
675 ATLANTIC BLVD HVAC DETAILS PER BUILDING HVAC 1 A/C,1 AHU, 2 TON $3500.00
PLANS UNIT 7
TYPE OF i REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
170659 0010 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
NORTHPORT
CONSTRUCTION GROUP 2905 SPRING PARK RD JACKSONVILLE FL 32207
dba NORTHPO
OWNER: ADDRESS: CITY: STATE: ZIP:
SHORELINE PROPERTY
MANAGEMENT INC 675 ATLANTIC BLVD ATLANTIC BEACH FL 32233
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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22200 $24.00
Issued Date: 12/20/2019 1 of 2
%'s'`''`'% MECHANICAL COMMERCIAL HVAC PERMIT NUMBER ^�
,
� MCAC19-0018
r ...~ DETAILS PER BUILDING PLANS
Ti " ISSUED: 12/20/2019
x,,;i„r PERMIT EXPIRES: 6/17/2020
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
Issued Date: 12/20/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
,;./ U�� pp HIGHLIGHTED IN
.%
""1 City of Atlantic Beach Building Department '° °EQUIP' '
' n 800 Seminole Rd, Atlantic Beach, FL 32233
—'/ Phone: (904) 247-5826 Email: Building-Dept@coab.us ruts a:
JOB ADDRESS: 61-5 AV\an.k1•c '. \Nd 51/4-4-‘ -1- PROJECT VALUE $ 35 O
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only 0 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 AR!#t(REQUIRED) "0423 '
0 Air Handling Equipment Only 0 Condenser Only ,a Air Handling Unit& Condenser
Air Conditioning: Unit Quantity \ Tons per Unit Z- c,
Heat: Unit Quantity BTU's Per Unit 2----2----2-(2-00---2-t0 Seer Rating (REQUIRED) I
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 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
)ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
It Vented Wall Furnaces Refrigerator Condenser BTUs
N 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 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 orathe performance of construction.
Owner Name: 5/10 Re\tr1( 1 r°PZr j k ckne 4tn + Inc , Phone Number:0'3b4) 327-553-'1
Mechanical Company: 11°R41?044 Qon. -‘-RuCU-�O� groRp Office Phone: �3\-75-1-4a Fax431'3"2-1-1
Co.Address: 2ckD5 1?f1.,n •\F- ------"A City: -34A State:TL• Zip: 321o3'
License Holder: 11-‘-`-kf. \5Pbar4�yfr"/ State Certification/Registration tt CRCtz5oo3`1
Notarized Signature of License Holder '�2'
The foregoing nstrument was acknowledged before me this 2' da of Dc(-- 20 k1, in the State of Florida,
County of .J`tu5. —v ;
Signature of Notary Public ' s`H
• STEPHANIE MITCHELL
NOTARY PUBLIC
Personally Known OR [ I Produced Identification
'_STATE OF FLORIDA T e of Identification:
�•-/ Carr*GG295632• Yp d 10/9/18
i e, Expires 1/28/2023 Updated
Scanned with CamScanner
Mechanical Permit Application -ALL INFORMATION
��
HIGHLIGHTED IN
ill",
City of Atlantic Beach Building Department GRAY IS REQUIRED.
'1. 800 Seminole Rd, Atlantic Beach, FL 32233
'it 9' Phone: (904) 247-5826 Email: Building-Dept@coab.us11PERMIT#: •
JOB ADDRESS: 64-5 1ctn 4i c r8t18 t
t -G Iii. A PROJECT VALUE$Isola-o0
❑NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI!!(REQUIRED)
❑Air Handling Equipmentpnly 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Qua ity Tons per Unit
Heat: Unit Quanti BTUs per Unit / Seer Rating(REQUIRED)
Duc ystems: Total CFM
REPLACEMENT AIR CONDITIONING & • .TING SYSTEM INSTALLATI s ARI!!(REQUIRED)
°I tG230 I
❑Air Handling Equipment Only ❑Condenser On! Air Handling Unit& Condenser
Air Conditioning: Unit Quantity ( Tons per Unit
Heat: Unit Quantity :TU's Per Unit 2 Seer Rating(REQUIRED) IC(
Duct Systems: Total CFM
AFIRE 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 Quantit (Requires 3 sets of plans)
Fire Suppression Systems Qyfty (Requires 3 sets of plans)
FIRE PLACES /" EJ MISCELLANE a US:
Prefabricated Fireplace (qtyj Automobile ifts
Gas Piping Outlets Boilers BTUs
Elevators/Esca .tors
[]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Cond- ser BTUs
#Water Heaters Solar Collection Sys -ms
Tanks (gallons) \
Wells \\
OTHER:
Permit
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 whetherSpecified or not. The permit does not give authority to violate the provisions of any other state or
local law regulation constructionLor the performaricc of construction. '
Owner Name: 5ho Kt‘tYl C.�t`o?et r 'A2 (Y1 c. Phone Number:(qoa)'' '55
Mechanical Company: it.J 1 A- Cbrra U- • G rO1tp Office Phone: {31'$2471/ Fax 43 1 -aZyq
Co.Address: t°1°$ SPr ^, Tpk`` 'RACity: 3`�?` State: TL• Zip: 322c9-
License Holder: � u
� uCk Wi'fiRyAw / S •te Certification/Registration$f CKC12.Sco3°t
Notarized Signature of License Holder
The forego instr ment was acknowledged bef re me this 4O d. of �c.t , 20 1 in the State of Florida,
County of ' ,,,:.mss . _ •
Signat e of Notary Public
STEPHANIE MITCHELL
:."7•• ,, NOTARY PUBLIC . •-rsonally Known OR[ ] Produced Identification
:tor '-STATE OF FLORIDA pe of Identification:
01141•-.,- Carer*GG295632 Updated 10/9/18
• Expires 1/28/2023
Scanned with CamScanner
Ste'
_ . �, Cash Register Receipt Receipt Number
City of Atlantic Beach R11341
"!WI !'r
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $198.00
MCAC19-0017 Address: 675 ATLANTIC BLVD APN: 170659 0010 $99.00
MECHANICAL $95.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22200 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
r
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
MCAC19-0018 Address: 675 ATLANTIC BLVD APN: 170659 0010 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 1 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22200 ' $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: R11341 $198.00
Date Paid: Friday, December 20, 2019
Paid By: NORTHPORT CONSTRUCTION GROUP dba NORTHPO
Cashier: CB
Pay Method: CREDIT CARD 3
Op
Printed: Friday, December 20, 2019 10:41 AM 1 of 1