1021 Atlantic Blvd 953-975 MCAC20-0001 Duct Work MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
' DETAILS PER BUILDING PLANS MCAC20-0001
ISSUED: 2/4/2020
J PERMIT EXPIRES: 8/2/2020
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:
1021 ATLANTIC BLVD 953 MECHANICAL COMMERCIAL DUCT WORK AND RELOCATE
975 HVAC DETAILS PER BUILDING GRILLS $5000.00
PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
M A KELLY GROUP LLC 641 Picasso AVE PONTE VEDRA FL 32081
OWNER: ADDRESS: CITY: STATE: ZIP:
EQUITY ONE ATLANTIC NORTH MIAMI
1600 NE MIAMI GARDENS DR FL 33179
VILLAGE INC BEACH
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
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: 2/4/2020 1 of 2
'S'_,''''�`- MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
S�) DETAILS PER BUILDING PLANS MCAC20-0001
� ISSUED: 2/4/2020
:T,.)i119% PERMIT EXPIRES: 8/2/2020
TOTAL: $79.00
Issued Date: 2/4/2020 2 of 2
A. Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
Or 4.41k4City of Atlantic Beach Building Department GRAY IS REQUIRED.
41,1 " 800 Seminole Rd, Atlantic Beach, FL 32233
� � ati\,Cr�czo-wool
4" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 20-0002
/C)Z(
JOB ADDRESS tlantic Blvd 0 pi ,4 i Z PROJECT VALUE$5000.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
®Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit ;i;
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
LIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
o 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
ElFIRE 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 n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
HALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
0 OTHER: Modify ductwork and relocate grills to match new floor plan
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:MiChaei A Kelly Phone Number: 904-415-3655
Mechanical Company: MAKelly Group LLC Office Phone: 904-280-2266 Fax
Co.Address: PO Box 1651 City: Pante Vedra Etch State: FL Zip: 32004
License Holder: Michael A Kelly State Certification/Registration# CMC056690
Notarized Signature of License Holder w , .4�A,
The forego ynstrumen was acknowledged before me this da ) if re AI •12 the State of Florida,
County of Ir JOVc,�-� •
Signature of Notary Public IW ,r
[ ] Personally Known OR [ ] Produced Identification* (�
Type of Identification: k._40 0 —SCI- ( --- -7-12_'-' V
Updated 10/9/18