416 Sargo Rd ACRS21-0325 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
MARCO & FRANCINI
BORBA 416 SARGO RD ATLANTIC BEACH FL 32081
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:
171533 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
416 SARGO RD MECHANICAL RESIDENTIAL
HVAC
HVAC: 1 Ton 12200 BTUs,
ENCLOSE PATIO TO LIVING
SPACE
$3600.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 12200 $24.00
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: 10/22/2021
PERMIT NUMBER
ACRS21-0325
ISSUED: 10/22/2021
EXPIRES: 4/20/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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
TOTAL: $91.00
2 of 2Issued Date: 10/22/2021
PERMIT NUMBER
ACRS21-0325
ISSUED: 10/22/2021
EXPIRES: 4/20/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $91.00
ACRS21-0325 Address: 416 SARGO RD APN: 171533 0000 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 12200 $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: R17776 $91.00
Printed: Friday, October 22, 2021 9:29 AM
Date Paid: Friday, October 22, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 535323336
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17776
ALL INFORMATION Mechanical Permit Application HIGHLIGHTED IN
GRAY IS REQUIREDCity of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone:(904)247-5826 Email:Building-Dept@coab.us PERMIT #:
JOB ADDRESS: 416 Sargo Rd PROJECT VALUE $ 3600
ZNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI #(REQUIRED) 201754430
2 Air Handling Unit & Condenser Air Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
O Condenser Only
Tons per Unit
BTUs per Unit 12200
Air Conditioning:
Heat: Seer Rating (REQUIRED)_ 18
Duct Systems:
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
O Air Handling Unit & Condenser O Air Handling Equipment Only
Unit Quantity.
Unit Quantity
Total CFM
O Condenser Only
Tons per Unit
BTU's Per Unit
Air Conditioning:
Heat: Seer Rating (REQUIRED)
Duct Systems:
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
(Requires 3 sets of
(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)
ns) Quantity
Quantity
Value
Quantity
Quantity
Quantity
Commercial Hoods
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:Marco Borba
Mechanical Company:Donovan Heat and Air
Co. Address:315 6th AveS
Phone Number: 904-219-3629
Office Phone: 9042413785Fax
City:Jax Beach State: AZip:32250
License Holder: William Donovan lI State Certification/Registration CACOS8398
Notarized Signoture of Ucense Holder
The foregoing instrument was acknowledged before me this14_day ofOctober
County ot Duval
20 21, in the State of Florida,
Signature of Notary Public O
RACHEL LEDFORD
Notary Publlc
State of Florida
M Personally Known OR [U Produced ldentification
Type of ldentification:
Commt HH169890
NGE Explres 8/26/2025
Updoted 10/9/18
ACRS21-0325