1993 Colina Ct MCRS21-0010 2 Supply Ducts, Kitchen ExhaustOWNER:ADDRESS:CITY:STATE:ZIP:
JACKSON & JENNIFER
SHORT 1993 COLINA CT ATLANTIC BEACH FL 32233-4530
COMPANY:ADDRESS:CITY:STATE:ZIP:
A COMFORTABLE
ENVIRONMENT, INC 2071 EMERSON STREET #3 JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169506 1066 SELVA NORTE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1993 COLINA CT MECHANICAL RESIDENTIAL
OTHER
2 SUPPLY DUCTS & KITCHEN
EXHAUST $795.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
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: 10/12/2021
PERMIT NUMBER
MCRS21-0010
ISSUED: 10/12/2021
EXPIRES: 4/10/2022
MECHANICAL RESIDENTIAL OTHER
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $79.00
2 of 2Issued Date: 10/12/2021
PERMIT NUMBER
MCRS21-0010
ISSUED: 10/12/2021
EXPIRES: 4/10/2022
MECHANICAL RESIDENTIAL OTHER
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $79.00
MCRS21-0010 Address: 1993 COLINA CT APN: 169506 1066 $79.00
MECHANICAL $75.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
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: R17667 $79.00
Printed: Tuesday, October 12, 2021 2:47 PM
Date Paid: Tuesday, October 12, 2021
Paid By: A COMFORTABLE ENVIRONMENT, INC
Pay Method: CREDIT CARD 530643485
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17667
Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED IN
f----City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 r Y\LISZ( - (:.:CJ I CD
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: r l s' ZI ` 0-ag_J
JOB ADDRESS: j C1 el 3 Chi t ,N c C47, # I ,-. , k. PROJECT VALUE $ ': 7'/
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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI ti(REQUIRED)
Air Handling Equipment Only Condenser Only 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
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 L_ MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
I 1ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
LTHER: N 6 e Z - S `'PP Q"- 4 5- 15- 1^", k", Cr,c mal QL -'Ne',J _,'-] c Qr% ( Ikuus--4veti
Pyr
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby G
certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this 1-0
work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or on/.q Q
local law regulation construction or the performance of construction. pa eel
r
Owner Name: c K5oN i s N/tii(e,-- ...S' h 4 471 0o. Phone Number: 1 L1 `7 s9`7GV.
Mechanical Company: A G6M.far--4 1-e. ridVI'r0I°M-,P.4 Office Phone: I0 ' Z tI-S3g Fax
Co. Address: 2071 cMerdo•-) S4. City: /crk, i State: f t- Zip: 32- 2-07
License Holder: .Jot~ kHisi A leo(' _'d e r Srv•411 State Certification/Registration# CA G i is )q 745 i
Notarized Signature of License Holder .!1117I,lr7_,,
The foregoing instrument was acknowledged before me this ` day of OCt'o')jec , 20N in the State of Florida,
County of Vv v a\
Signature of Notary Public
not '00 AIN. Personally Known OR [ ] Produced I-•• - '••
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Type of Identification: 4.'',:"1‘,,.., STEFANI SERNA
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