1659 Sea Oats Dr ACRS21-0302 Duct Work '' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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PERMIT ACRS21-0302
ISSUED: 9/28/2021
CITY OF ATLANTIC BEACH EXPIRES: 3/27/2022
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: i DESCRIPTION: VALUE OF WORK:
1659 SEA OATS DR MECHANICAL RESIDENTIAL Duct Work: CFM 1040 $4000.00
HVAC
TYPE OF REAL ESTATE I BUILDING USE
CONSTRUCTION: = NUMBER: ZONING: j GROUP: SUBDIVISION:
172020 0146 SELVA MARINA UNIT 06
COMPANY: ADDRESS: i CITY: STATE: ZIP:
BOLD CITY HEATING AND 837 Mendoza Drive Jacksonville FL 32217
AIR INC
OWNER: ADDRESS: CITY: STATE: ZIP:
SYLVAN JOHANNES B IV 1659 SEA OATS DR ATLANTIC BEACH FL 32233-5827
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. 1
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1040 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.78
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
Issued Date:9/28/2021 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS21-0302
uv" ISSUED: 9/28/2021
`Jill>� CITY OF ATLANTIC BEACH EXPIRES: 3/27/2022
TOTAL:$189.78
Issued Date:9/28/2021 2 of 2
-sLAn-„, Mechanical Permit Application **ALL INFORMATION
t-;4 HIGHLIGHTED IN
”' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
';;9r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1659 Sea Oats Drive Atlantic Beach, FL 32233 USA PROJECT VALUE $4300E-
aiNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 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 1.aae'
IXREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only El Condenser Only El 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 ! i
FIFIRE 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)
nFIRE PLACES IT 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:
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.
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Owner Name: ).íLcvI(l/-, J((/� Phone Number:
Mechanical Company: Bold City Heating and Air Office Phone: (904)379.1648 Fax
Co. Address: 8400 Baymeadows Way 1 City: Jax State: FL Zip: 32256
License Holder: Mirza Pilakovic State Certification/Registration # CAC1818833
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day of 550 , 20?-7, in the State of Florida,
County of
Sig ature of Notary Publi
Notary Public Stated%rids
Emma Pilakovic Personally Known OR [ J Produced Identification
myCor'*"'SuonHH066079 Type of Identification:
xp es 03/16/2025
Updated 10/9/18