338 7th St ACRS21-0296 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
DAVID & SHANNON
BOSSBALY 338 7th ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Donovan AC & Electric 315 6TH AVENUE SOUTH JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169894 0010 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
338 7TH ST MECHANICAL RESIDENTIAL
HVAC
HVAC: 3.5 Tons 38500 BTUs
for INTERIOR REMODEL $9800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 38500 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 9/21/2021
PERMIT NUMBER
ACRS21-0296
ISSUED: 9/21/2021
EXPIRES: 3/20/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $107.00
2 of 2Issued Date: 9/21/2021
PERMIT NUMBER
ACRS21-0296
ISSUED: 9/21/2021
EXPIRES: 3/20/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS21-0296 Address: 338 7TH ST APN: 169894 0010 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 38500 $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: R17240 $107.00
Printed: Tuesday, September 21, 2021 9:39 AM
Date Paid: Tuesday, September 21, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 515170383
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17240
*ALL INFORMATION Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department
800 Seminole Rd,Atlantic Beach, FL 32233
GRAY IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #:
JOB ADDRESS:338 7th St PROJECT VALUE $ 9,800
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI# (REQUIRED)
O Air Handling Equipment Only
Air Conditioning:
Heat:
O Air Handling Unit & Condenser
Unit Quantity,
Unit Quantity.
Total CFM
O Condenser Only
Tons per Unit
BTUs per Unit Seer Rating (REQUIRED).
Duct Systems:
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# (REQUIRED) 9924469
O Air Handling Equipment Only
Air Conditioning:
Air Handling Unit & Condenser O Condenser Only
Tons per Unit
BTU's Per Unit 38500 Seer Rating (REQUIRED) 15
3.5 Unit Quantity
Unit Quantity
Total CFM
Heat:
Duct Systems:
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
Quantity
Quantity
Value
-
Quantity
Quantity
Quantity
Commercial Hoods
Fire Suppression Systems
FIRE PLACES
Prefabricated Fireplace (Qty)
Gas Piping Outlets
MISCELLANEOUS:
Automobile Lifts
Boilers BTUS
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser
Solar Collection Systems
Tanks (gallons)
Wells
ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces BTUs
#Water Heaters
gOTHER: Demidifier
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 thatI 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: David Bossbaly
Mechanical Company:Donovan Heat and Air
Co. Addres:315 6th AveS
License Holder:Wiliam Donovan
Phone Number: 201-694-6328
Office Phone: 904241378S Fax
City:Jax Beach State:Zip: 32250
State Certification/Registration # CACOS8398
Notarized Signoture of License Holder.
The foregoing instrument was acknowledged before me this 1/dayof September, 20 21, in the State of Florida,
County of Duval
Signature of Notary Public
RACHEL LEDFORD
Notary Public
State of Florida
Personally Known OR[] Produced ldentification
Type of ldentification:
Commt HH169890 Updoted 10/9/18
Explres 8/26/2025
ACRS21-0296