326 19th St ACRS21-0314 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
MONTGOMERY LESLIE 326 19TH ST ATLANTIC BEACH FL 32233-4536
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:
172020 0904 SELVA MARINA UNIT 11
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
326 19TH ST MECHANICAL RESIDENTIAL
HVAC HVAC: 3.5 Tons, 41K BTUs $7600.00
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: 10/8/2021
PERMIT NUMBER
ACRS21-0314
ISSUED: 10/8/2021
EXPIRES: 4/6/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $107.00
2 of 2Issued Date: 10/8/2021
PERMIT NUMBER
ACRS21-0314
ISSUED: 10/8/2021
EXPIRES: 4/6/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS21-0314 Address: 326 19TH ST APN: 172020 0904 $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: R17600 $107.00
Printed: Friday, October 8, 2021 11:30 AM
Date Paid: Friday, October 08, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 193350168
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17600
ALL INFORMATIONMechanicalPermit Application
HIGHLIGHTED 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: 326 19th St PROJECT VALUE $ 7,600
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI # (REQUIRED)_
D Air Handling Equipment Only
Air Conditioning:
Heat
Duct Systems:
o Condenser Only
Tons per Unit
BTUs per Unit.
O Air Handling Unit & Condenser
Unit Quantity
Unit Quantity
Total CFM
Seer Rating (REQUIRED)
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) 204839631
O Condenser Only
Tons per Unit
BTU's Per Unit 41000
Air Handling Equipment Onlyy
Air Conditioning:
2 Air Handling Unit & Condenser
3.5 Unit Quantity
Unit Quantity
Total CFM
Heat:Seer Rating (REQUIRED) 14
Duct Systems:
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
(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 Fire Suppression Systems
MISCELLANEOUS:
Automobile Lifts
Boilers
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser
Solar Collection Systems
Tanks (gallons)
Wells
FIRE PLACES
Prefabricated Fireplace (Qty)
Gas Piping Outlets BTUS
ALL OTHER GAS PIPING
Quantity of Outlets
#Vented Wall Furnaces BTUs
# Water Heaters
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. Ihereby
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: Leslie Montgomery Phone Number:904-327-2202
Office Phone:9042413785Fax
City Jax Beach
Mechanical Company: Donovan Heat and Air
Co. Address:315 6th AveS
License Holder: William Donovanll
Notarized Signature of icense Holder.
The foregoing instrument was acknowledged before me this7 day ofOctober
State:Zip: 32250
State Certification/Registration # CACOS83988
20 21, in the State of Florida,
County of Duval
Signature of Notary Public O
RACHEL LEDFORD
Notary Public
State of Florlda
Comm HH169890
M Personally Known OR[ ] Produced ldentification
Type of Identification:.
Updated 10/9/18
Bxplres 8/26/2025
ACRS21-0314