594 Plaza ACRS21-0345 DuctOWNER:ADDRESS:CITY:STATE:ZIP:
PEDERSEN LU MARGARET 594 PLAZA ATLANTIC BEACH FL 32233-4123
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:
170703 0212 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
594 PLAZA MECHANICAL RESIDENTIAL
HVAC Duct: 1050 CFM $6250.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1050 $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
TOTAL: $79.00
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: 11/17/2021
PERMIT NUMBER
ACRS21-0345
ISSUED: 11/17/2021
EXPIRES: 5/16/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
2 of 2Issued Date: 11/17/2021
PERMIT NUMBER
ACRS21-0345
ISSUED: 11/17/2021
EXPIRES: 5/16/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $79.00
ACRS21-0345 Address: 594 PLAZA APN: 170703 0212 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1050 $20.00
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: R18069 $79.00
Printed: Wednesday, November 17, 2021 1:51 PM
Date Paid: Wednesday, November 17, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 547232866
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18069
ALL INFORMATIONN Mechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
HIGHLIGHTED IN
GRAY IS REQUIRED
PERMIT #:
JOB ADDRESS:594 Plaza PROJECT VALUE $ 6250
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI #(REQUIRED)
OAir Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
O Condenser Only
Tons per Unit
BTUs per Unit,
Air Handling Unit & Condenser
Air Conditioning:
Heat:Seer Rating (REQUIRED)
Duct Systems:
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
Air Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
O Condenser Only
Tons per Unit
BTU's Per Unit
Air Handling Unit & Condenser
Air Conditioning:
Heat:Seer Rating (REQUIRED)
Duct Systems: 1050
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
FIRE PLACES
Prefabricated Fireplace (Qty)_
Gas Piping Outlets
MISCELLANEOUS:
Automobile Lifts
Boilers
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser
Solar Collection Systems
Tanks (gallons)
Wells
BTUs
ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces BTUs
#Water Heaters
COTHER:
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.
Owner Name: Lu Pedersen Phone Number:360-913-5013
Mechanical Company: DONOVAN HEAT, AIR, & ELECTRIC Office Phone:(904)241-3785 Fax
Co. Address:315 6TH AVES City:JAX BEACH State: FLZip: 32250
License Holder: WILLIAM DONOVAN II State Certification/Registration #CACO58398
Notartzed Signature of Ucense Holder kE
The foregoing instrument was acknowledged before me this 15dayof November 2021,in the State of Florida,
County of_Duval Signature of Notary Public
RACHEL LEDFORD ersonally Known ORU Produced Identification
Type of ldentification:
AR Notany Public
State of Florlda
Comm HH169890
Explres 8/26/2025
Updated 10/9/18
ACRS21-0345