126 15th St ACRS21-0353 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
JONES MAE THOMPSON
LIFE ESTATE 126 15TH ST ATLANTIC BEACH FL 32233-5724
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:
171864 0000 MANDALAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
126 15TH ST MECHANICAL RESIDENTIAL
HVAC HVAC: 2 Tons 22K BTUs $6900.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 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: 12/3/2021
PERMIT NUMBER
ACRS21-0353
ISSUED: 12/3/2021
EXPIRES: 6/1/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
2 of 2Issued Date: 12/3/2021
PERMIT NUMBER
ACRS21-0353
ISSUED: 12/3/2021
EXPIRES: 6/1/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS21-0353 Address: 126 15TH ST APN: 171864 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22000 $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: R18183 $99.00
Printed: Friday, December 3, 2021 10:06 AM
Date Paid: Friday, December 03, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 554900765
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18183
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
*ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT 4:
JOB ADDRESS: 126 15th St PROJECT VALUE $6.900.00
UNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
O Condenser Only
ons per Unit
BTUs per Unit,
ARI # (REQUIRED)
DAir Handling Equipment Only
Unit Quantity.
Unit Quantity.
DAir Handling Unit & Condenser
Air Conditioning:
Heat: Seer Rating (REQUIRED).
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# (REQUIRED) 201663458
DAir Handling Equipment Only
Unit Quantity 1
Unit Quantity 1
Total CFM
O Condenser Only
Tons per Unit 2.0
BTU's Per Unit 22,000
Air Handling Unit & Condenser
Air Conditioning:
Heat: Seer Rating (REQUIRED) 15.00
Duct Systems:
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Quantity
Quantity
Value
Quantity
Quantity
Quantity
(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) 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 TUs
#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.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:Mae Jones Phone Number:(904)249-2644
Mechanical Company: DONOVAN HEAT, AIR, &ELECTRIC Office Phone: (904) 241-3785 Fax_
Co. Address: 315 6TH AVES
Llcense Holder: WILLIAM DONOVAN I
City: JAX BEACH State:FL_Zip: 32250
State Certification/Registration # CAcO68398
Notartzed Signature of Ucense Holder
The foregoing instrument was acknowledged before me this 1_day of December, 2021L in the State of Florida,
County of_Duval_
Signature of Notary Public
RACHEL LEDFORD Iersonally Known OR[ 1 Produced ldentification
Type of ldentification:
Notary Publc
State of Forlda
Comml HH169890 Updated 10/9/18
Expires 8/26/2025
ACRS21-0353