197 Seminole Rd ACRS21-0310 HVAC ,,:. i, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT
ACRS21-0310
- ISSUED: 10/4/2021
0,;,,; CITY OF ATLANTIC BEACH EXPIRES: 4/2/2022
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: DESCRIPTION: VALUE OF WORK:
MECHANICAL RESIDENTIAL
197 SEMINOLE RD HVAC HVAC: 3.5 Tons 42K BTUs $6100.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170603 0100 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
Southern Point Heating 12511 Sun Palm Dr Jacksonville FL 32225
and Air Inc.
OWNER: ADDRESS: CITY: STATE: ZIP:
REEVES KENNETH C 197 SEMINOLE RD ATLANTIC BEACH FL 32233-4140
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.
;;rte,,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 42000 $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 $2.00
Issued Date: 10/4/2021 1 of 2
fr�x�.,i Mechanical Permit Application **ALL INFORMATION
pp HIGHLIGHTED IN
"' City of Atlantic Beach Building Department GRAY IS REQUIRED.
Wo � 800 Seminole Rd, Atlantic Beach, FL 32233
247-5826A( P• z - 031
Phone: (904) Email: Building-Dept@coab.us PERMIT#. l O
JOB ADDRESS: / / 7 - '''"'t 1 e le lei- PROJECT VALUE$ fj/D.' •6.)
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
)X1REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 966'0
❑ Air Handling Equipment Only ❑ Condenser Onlys "Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit
Heat: Unit Quantity t BTU's Per Unit Li 7 0000 Seer Rating (REQUIRED) / Sr,,...c
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)
I )FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
1ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
nOTHER:
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.
/ / C, 2)
Owner Name: 5eG�.-,. Lc.L /,11F /) /�/J Phone Number: Wel 90 c� /Q1
Mechanical Company: 53,,,y%.r,l Pe);-)-i"" t4't, q.,c1 it/ Office Phone: 1Z2 ii7tR Fax
Co.Address: 12 Si/ 5-44,1 Pe. /„) f1. City: JA,>G, State: FL Zip: 322
License Holder: pry, hG/// State Certification/Registration# C,4<, 1 / i22 3
Notarized Signature of License Holder — =._ �z
The foregoing instrument was acknowledged before me this 4 day of OCT , 20 2.4, in the State of Florida,
County of 0UV/} 1, �'f ,fin
Signature of Notary Public �2--. /C` �
war r ..
0:i CHRISTIAN GILES ] Personal) l Known OR Produced Identification
MY COMMISSION#HH 117153 I TeofIdentification: h
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‘` EXPIRES 13,2025 i
Type F L• V L-
•''er o ' Bonded peePkeery Peek UndenvAMre II Updated 10/9/18