2069 Beach Ave ACRS22-0011 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
FERGUSON LEE A TRUST 2069 BEACH AVE ATLANTIC BEACH FL 32233-5934
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:
169718 0000 NORTH ATLANTIC BCH
UNIT 3
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2069 BEACH AVE MECHANICAL RESIDENTIAL
HVAC HVAC: 4 Tons 46500 BTUs $7200.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 46500 $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: 1/12/2022
PERMIT NUMBER
ACRS22-0011
ISSUED: 1/12/2022
EXPIRES: 7/11/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $115.00
2 of 2Issued Date: 1/12/2022
PERMIT NUMBER
ACRS22-0011
ISSUED: 1/12/2022
EXPIRES: 7/11/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $115.00
ACRS22-0011 Address: 2069 BEACH AVE APN: 169718 0000 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 46500 $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: R18479 $115.00
Printed: Wednesday, January 12, 2022 9:02 AM
Date Paid: Wednesday, January 12, 2022
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 573329031
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18479
Mechanical Permit Application ALL INFORMATION
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:2069 Beach Ave
PROJECT VALUE $7,200.00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# (REQUIRED) DAir Handling Equipment Only Air Conditioning:
Heat:
O Condenser Only
Tons per Unit
BTUs per Unit
Air Handling Unit & Condenser Unit Quantity
Unit Quantity
Total CFMM Seer Rating (REQUIRED) Duct Systems:
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) 204837506 Air Handling Equipment Only
Unit Quantity 1
Unit Quantity 1
Total CFM
Condenser Only
Tons per Unit 4.0
BTU's Per Unit 48,500
Air Handling Unit & Condenser Air Conditioning:
Heat:
Seer Rating (REQUIRED) 14.00 Duct Systems:
UFIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
Quantity
Quantity
Value
(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
Quantity
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
0OTHER:
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:Lee Ferguson Phone Number:(904)571-0124
office Phone: (004) 241-378S
City: JAx BEACH
Fax Mechanical Company:DONOVAN HEAT,AIR, & ELECTRIC
State: FL Zip: 32250Co. Address: 315 6TH AVES
License Holder: WILLIAM DONOVAN I
Notorized Signature of License Holder AOA
State Certification/Registration # CACOS8398
The foregoing instrument was acknowledged before me this 10 day of January2022, in the State of Florida,
County of Duval_
Signature of Notary Public _
Ifersonally Known OR [1 Produced ldentification
Type of ldentification:
RACHEL LEDFORDA Notary Publc
State of Florlda
Updated 10/9/18Comml HH169890
Expires 8/26/2025
ACRS22-0011