1962 Colina Ct ACRS21-0369 HVAC, DuctOWNER:ADDRESS:CITY:STATE:ZIP:
JASON AND LESLIE KELSO 1962 COLINA CT ATLANTIC BEACH FL 32233-4530
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:
169506 1058 SELVA NORTE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1962 COLINA CT MECHANICAL RESIDENTIAL
HVAC
HVAC: 1.5 Tons 17600 BTUs,
525 CFM $8500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 1.5 $8.00
AIR DUCT SYSTEM 455-0000-322-1000 525 $20.00
FURNACES AND HEATING 455-0000-322-1000 17600 $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: 12/28/2021
PERMIT NUMBER
ACRS21-0369
ISSUED: 12/28/2021
EXPIRES: 6/26/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $111.00
2 of 2Issued Date: 12/28/2021
PERMIT NUMBER
ACRS21-0369
ISSUED: 12/28/2021
EXPIRES: 6/26/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $111.00
ACRS21-0369 Address: 1962 COLINA CT APN: 169506 1058 $111.00
MECHANICAL $107.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $8.00
AIR DUCT SYSTEM 455-0000-322-1000 525 $20.00
FURNACES AND HEATING 455-0000-322-1000 17600 $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: R18369 $111.00
Printed: Tuesday, December 28, 2021 9:35 AM
Date Paid: Tuesday, December 28, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 566790381
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18369
ALL INFORMATIONNMechanicalPermit 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: 1962 Colina Ct PROJECT VALUE $8,500.00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
Air Handling Unit & Condenser Air Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
O Condenser Only
Tons per Unit
BTUs per Unit
Air Conditioning:
Heat: Seer Rating (REQUIRED)
Duct Systems:
REPLACEMENT AIR cONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED).
Air Handling Equipment Only
Air Conditioning:
Heat:
Air Handling Unit & Condenser
Unit Quantity 1
Unit Quantity 1
Total CFM
O Condenser Only
Tons per Unit 1.5
BTU's Per Unit 17,600 Seer Rating (REQUIRED) 16.00
Duct Systems:525
UFIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
(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
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
OTHERR:,
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 constructlon or the performance of construction.
Owner Name:Jason Kelso Phone Number:(213)446-3341
Mechanical Company: DONOVAN HEAT, AIR, &ELECTRIC Office Phone:(904)241-3785 Fax
Co. Address:315 6TH AVES City:AX BEACH State:FLZip:32250
LIcense Holder: WILLIAM DONOVANI
Notarlzed Signature of License Holder P
State Certification/Registration # CACO58398
The foregoing instrument was acknowledged before me this27 day of December2021,in the State of Florida,
County of Duval
Signature of Notary Public 2
RACHEL LEDFORD
Notary Public
State of Florlda
Comm HH169890
Iersonally Known OR [ ] Produced ldentification
Type of ldentification:
Updated 10/9/18
Expires 8/26/2025
ACRS21-0369