370 12th St ACRS22-0030 3 Units �, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
;,,(4
ACRS22-0030
PERMIT ISSUED: 2/1/2022
W� CITY OF ATLANTIC BEACH EXPIRES: 7/31/2022
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:
MECHANICAL RESIDENTIAL HVAC 3 Units: 9.5 Tons 108K
370 12TH ST $7400.00
HVAC BTUs
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171929 0000 SELVA MARINA UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT& AIR JACKSONVILLE
864 18TH ST N FL 32250
LLC BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
JONATHAN TALAMO 370 12th Street Atlantic Beach Fl 32233
REVOCABLE TRUST
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 9 $72 00
FURNACES AND HEATING 455-0000-322-1000 108000 $32.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.39
Issued Date:2/1/2022 1 of 2
1,1:40%
''flMECHANICAL RESIDENTIAL HVACPERMIT NUMBER
ACRS22-0030
411 �; PERMIT PERMIT
ISSUED: 2/1/2022
CITY OF ATLANTIC BEACH EXPIRES: 7/31/2022
STATE DCA SURCHARGE I 455-0000-208-0600 I 0 $2.00
TOTAL:$163.39
Issued Date:2/1/2022 2 of 2
Mechanical Permit Application **ALL INFORMATION
j::'';l-i, HIGHLIGHTED IN
-: ,_ City of Atlantic Beach Building Department GRAY IS REQUIRED.
'1 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 3 76, / 1L PROJECT VALUE $ —7 1`1C-9Oo
I I NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
A REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) .,24,a36, 'd
Li Air Handling Equipment Only ❑ Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 3 Tons per Unit 2.5/3/ y
Heat: Unit Quantity 3 BTU's Per Unit z c'ooa Seer Rating (REQUIRED) /S o
Duct Systems: Total CFM 3io°o9 /S's
y ygoe-a i 5-. a
(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
HALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
i 10TH ER:
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: (/*Pt /44 ih O Phone Number: 77' MO ' 72V
Mechanical Company:
/p .--0)4/-e..--? ,t3,..7 Office Phone: g22-• 93/5 Fax
Co. Address: �Gej fd &</ N City: `eiy 6G(. State: Zip: c?21,W
License Holder: State Certification/Registration# G4'6/'/i 72y
Notarized Signature of License Holder _ j•
The foregoing instrument was acknowledged be ore his j- day o F^41, , 20 2;_in the State of Florida,
County of p U VA L,
Signature of Notary Public (/ /
<.�"'°'+ CHRISTIAN GILES
=.. ;. MY COMMISSION 1171531. [ ] Personally Known OR M'Produ d Identification
1,..,su s`.= EXPIRES:ApriI13,2025 Type of Identification: FL - V L -
'eO." ,F,`.°p. Bonded Thru Notary Public Underwriters Updated 10/9/18