1721 Atlantic Beach Dr ACRS20-0035 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0035
ISSUED: 2/12/2020
CITY OF ATLANTIC BEACH EXPIRES: 8/10/2020
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 RESIDENTIAL TWO 2.5-TON 28.8K-BTU
1721 ATLANTIC BEACH DR HVAC AHUS & 2K-CFM DUCT $17656.00
SYSTEM
TYPE OF
ZONING: :D •
• • • •
169505 1435 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS:
CREEKS AIR
CONDITIONING & 51 HUDSON WAY PONTE VEDRA FL 32081
HEATING
• ADDRESS:
GREGORY A NELSON 523 SELVA LAKES CIRCLE 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.
LIST OF CONDITIONS
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 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
Issued Date: 2/12/2020 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS20-0035
PERMIT
ISSUED: 2/12/2020
CITY OF ATLANTIC BEACH EXPIRES: 8/10/2020
FURNACES AND HEATING 455-0000-322-1000 57600 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$147.15
Issued Date: 2/12/2020 2 of 2
Mechanical Permit Application `*ALL INFORMATION
HIGHLIGHTED IN
i�
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 p 1
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: �CI�SO�� —001T
JOB ADDRESS: 1721 Atlantic Beach Drive Atlantic Beach FL 32233 PROJECT VALUE$ I r l CSS�Q
✓Q NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 8996203
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 2 Tons per Unit 2.5
Heat: Unit Quantity BTUs per Unit ,� t� Seer Rating(REQUIRED) 16
Duct Systems: Total CFM -c C
❑REPLACEMENT 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
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 r7 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: 2 heat pump systems-25 supplies-9 returns-venting for bath fans and dryer k. -
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: L�I >Jr�� G�1St1�UC� (t l Phone Number:
Mechanical Company: Creeks Air Office Phone: 9042307840 Fax NA
Co. Address: 51 Hudson Way Suite 1 City: Ponte Vedra State: FL Zip: 32081
License Holder: Ben Smith to Certification/Registration# CMC1249868
Notarized Signature of License Holde
The forego insypment was acknowledged before me this day of 7� 1 20� in the State of Florida,
County of !- I ` "(
Signature of Notary Public � 1 L tib_L—J
"Ay Put AMY L.KNIGHT Personally Known OR [ ] Produced Identification
: h Commission#GG 907883
Type of Identification:
N, c� Expires September 9,2023
9jFOF FLOP Bonded Tlru Budget Notary Servloea Updated l0/9/18
S ri'a'I rJ�,
Cash
City of Atlantic Beach R11705
DESCRIPTION
• CITY PAID
PermitTRAK $147.15
ACRS20-0035 Address: 1721 ATLANTIC BEACH DR APN: 169505 1435 $147.15
MECHANICAL $143.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 57600 $28.00
STATE SURCHARGES $4.15
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ITOTAL FEES PAID BY RECEIPT: R11705 $147.15
Date Paid: Wednesday, February 12, 2020
Paid By: CREEKS AIR CONDITIONING & HEATING
Cashier: CT
Pay Method: CREDIT CARD 2
Printed:Wednesday, February 12, 2020 10:38 AM 1 of 1
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