435 Atlantic Blvd, McDonalds ACRS22-0005 Roof Top AC ,;,1„L\-, ,,,,,
' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS22-0005
ISSUED: 1/6/2022
�,,,,,,; CITY OF ATLANTIC BEACH EXPIRES: 7/5/2022
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
435 ATLANTIC BLVD MECHANICAL RESIDENTIAL Air Conditioning: 12.5 Tons $4800.00
HVAC (roof top unit)
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170694 0000 SALTAIR SEC 03
COMPANY: i ADDRESS: CITY: STATE: ZIP:
Phoenix Comfort Services 6952 S Country Rd 125 Macclenny Fl 32063
OWNER: ADDRESS: CITY: STATE: ZIP:
FRANCHISE REALTY JACKSONVILLE
C/O SHAWN KUTHAN FL 32240-1989
INTERSTATE CORP (272-09) BEACH
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 12.5 $92.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.21
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $151.21
Issued Date: 1/6/2022 1 of 2
%S'`'\1 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS22-0005
.---
PERMIT ISSUED: 1/6/2022
,�,,��ji, CITY OF ATLANTIC BEACH EXPIRES: 7/5/2022
Issued Date: 1/6/2022 2 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.0 PERM IT#:APS 2_ GkX)
JOB ADDRESS: 435 Atlantic Blvd PROJECT VALUE $ 4800.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only 0 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#(REQUIRED) 201841275
❑Air Handling Equipment Only 0 Condenser Only 0 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
EAU_OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: Installation of Customer Supplied Roof Top Unit
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: %. (A.e, Phone Number:
Mechanical Company: Phoenix Comfort Services of Florida LLC Office Phone: 904-303-4300 Fax
Co. Address: 6952 S County Road 125 City: Macclenny State: FL Zip:
License Holder: Philip Tanner State Certification/Registration# CAC1815476
Notarized Signature of License Holder 1-z- )C
[
The foregoing instrument was acknowledged before me this (0 day of JAN ,20Z2, in the State of Florida,
County of IL y AL_ 0
Signature of Notary Public �Cl� ti(/1
iYb CHRISTIAN GILES
• ._.: .‘.. ?*: MY COMMISSION#HH 117153 [ I Personally Known OR [q'Produced Identification
;;�, EXPIRSS:April 13,2025
�:ar: L
..'-E�►r;?:V Bonded ThruNotsryPubkUndetwMers Type of Identification: �` /J
— — Updated 10/9/18
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