220 12th St ACRS21-0307 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
MELOGRANA FRANK S 220 12TH 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:
170289 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
220 12TH ST MECHANICAL RESIDENTIAL
HVAC HVAC: 3.5 Tons 41K BTUs $6800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 41000 $24.00
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
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: 10/1/2021
PERMIT NUMBER
ACRS21-0307
ISSUED: 10/1/2021
EXPIRES: 3/30/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $107.00
2 of 2Issued Date: 10/1/2021
PERMIT NUMBER
ACRS21-0307
ISSUED: 10/1/2021
EXPIRES: 3/30/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS21-0307 Address: 220 12TH ST APN: 170289 0000 $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 41000 $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: R17458 $107.00
Printed: Friday, October 1, 2021 10:42 AM
Date Paid: Friday, October 01, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 518774168
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17458
**ALL INFORMATION Mechanical Permit Application
HIGHUGHTED IN
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
GRAY IS REQUIRED.
PERMIT #:
JOB ADDRESS: 220 12th St PROJECT VALUE S AcO
NEW AIR cONDITIONING & HEATING SYSTEM INSTALLATION ARI# (REQUIRED).
Air Hondling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
o Condenser Only
Tons per Unit
BTUS per Unit.
Air Hondling Unit & Condenser
Air Conditioning:
Heat:Seer Rating (REQUIRED)
Duct Systems:
REPLACEMENT AIR cONDITIONING &HEATING SYSTEM INSTALLATION ARI# (REQUIRED) 204839631
Air Handling Unit & Condenser Air Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
a Condenser Only
Air Conditioning: Tons per Unit 3.5
Heat: BTU's Per Unit 41000 Seer Rating (REQUIRED) 14
Duct Systems:
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Quantity
Quantity
Value
Quantity
Quantity
Quantity
(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) 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
OTHER:
Permit becomes void f work does not commence within a sia month period or work is suspended or abandoned for sx months.I hereby
certity that I have read this application and know the same to be true and correct. Al provisions of laws and ordinances governing this
work will tbe complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or
local law regulat ion construction or the pertormance of construction
Phone Number:301-656-121S
9042413785
Owner Name:Nicole Melograna
Mechanical Company:Donovan Heat and Air
Co. Address 315 6th Ave S
Llcense Holder: William Donovan I
Notorired Signature of License Holder
Office Phone: Fax
City Jax Beach State Zip 32250
State Certification/Registration # CACOS8398
The foregoing instrument was acknowledged before me this 20 day ofSeptembe,20 21, in the State of Florida,
County of Duval Signature of Notary Public x
M Personaly Known OR | Produced ldentification
Type of ldentification:
RACHEL LEDFORD
Notary Public
State of Florida
Comm HH169890
Expires &/26/2025
Upduted 10/9/18
CE
ACRS21-0307