1760 SELVA MARINA DR ACRS22-0060 Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
_ City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 BCR Z Z — OCGC
Phone: (904) 247-5826 Email: PERMIT#:
JOB ADDRESS: \-t9C )c\ic1 mc_,,\—*,-" i Nc PROJECT VALUE $ �/C-i- `
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ 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) 69 3 s
0 Air Handling Equipment Only 0 Condenser Only NErkr Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit
Heat: Unit Quantity \ BTU's Per Unit Seer Rating (REQUIRED) \\o.`T
Duct Systems: Total CFM
[IFIRE 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 IT MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
[TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
BOTHER:
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: Y:(0.4_ -\eeS5tG() Phone Number: qQy '3.55- }1`})
Mechanical Company: ilto+e,J )'lCATrrl6 4 ezzi.,,,IGl c.,, Office Phone:go4^4q2-(91,Z Fax '
Co. Address: 2801 DAi,J RD /
t City:- .T -+I- 7'Jka1(+� State:/L Zip:3Vz�7
License Holder: /),V/ /,jc4y / J. 4
t ' State Certification/Registration # CACOSb?2(dr
il Notarized Signature of License Holder cl
o• : instrument was acknowledged before me this
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The fore di ofd t -.fit., r 20 . • the State of Florida,
• a • 1 ,v
•;;,;;;;.' MARY WEEKS Signature of Notary Public , -.
X44., Commission#HH 050506
"4•.o%.0` Expires October 5,2024 , - rersonally Known OR [ ] Pro d Identification
'•••:f?' Bonded ThruTroy Fain Insurance 800.385-7019 ype of Identification:
Updated 10/9/18
OE;�5 ''% MECHANICAL RESIDENTIAL HVACPERMIT NUMBER/ '� ACRS22-0060
r� lPERMIT ISSUED: 2/28/2022
0;;,� CITY OF ATLANTIC BEACH EXPIRES: 8/27/2022
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: I VALUE OF WORK:
1760 SELVA MARINA DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2 TON $5985.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172009 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS: CITY: STATE: ZIP:
THIGPEN HEATING &
COOLING INC. 2801 DAWN RD JACKSONVILLE FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP:
LAURA L FERRANTE LIVING 1760 SELVA MARINA DR ATLANTIC BEACH FL 32233-5618
TRUST
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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:2/28/2022 1 of 2