1525 BEACH AVE ACRS22-0074 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
DAVEY DONALD V TRUST 1525 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Southern Point Heating
and Air Inc.12511 Sun Palm Dr Jacksonville FL 32225
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170309 0010 ATLANTIC BCH HOTEL
RESER
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1525 BEACH AVE MECHANICAL RESIDENTIAL
HVAC HVAC - 1 A/C, 1 AHU, 2 TON $6500.00
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
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: 3/10/2022
PERMIT NUMBER
ACRS22-0074
ISSUED: 3/10/2022
EXPIRES: 9/6/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
2 of 2Issued Date: 3/10/2022
PERMIT NUMBER
ACRS22-0074
ISSUED: 3/10/2022
EXPIRES: 9/6/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Mechanical Permit Application
ALL INFORMATION
1:::,/,-,, Mp HIGHLIGHTED IN
1' J City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 RQRS2-Z_0Cj`74
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: I (15 (.3& 26___ [-\ V6 PROJECT VALUE $ 6 SOO `'v
LI NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) Q6755 7
Air Handling Equipment Only Condenser Only E Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems:Total CFM
j
I I REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9 b ! s '7,
Air Handling Equipment Only Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity ) Tons per Unit 2 To r\
Heat: Unit Quantity BTU's Per Unit 7(J / Seer Rating (REQUIRED) 111
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 I I MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
1 1OTHER:
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./
ti 1'
Owner Name: k/C,vA 0• ' Phone Number:)
Rg(/
7, 1 22 /6 91
Mechanical Company:
9,,:,,,
1,11)p,,,•A Poi," • j-/ 1s, cji
ffi`e Phone: 9' 472, /11 iax
Co. Address: )2S I ) ,,lvi t",,, I wI 7`, City: v ob)6• State:R. Zip: 32-22..S
License Holder: <a e.,,, 2,-) 4-L 85/ tate Ce • • ation/Registration# LA(./ / ( 3 26
Notarized Signature of License Holder
The foreg•'jt. strument w s acknowledged before me this D da • >% >l7i, I a th State of Florida,
County of ""tea ') Oz
Signature of Notary Public W
iiii:t , TONI GINDLESPERGER
MY COMMISSION#GG 353178 Personally Known OR [ ] ProducedoIdentification
5•%.:o EXPIRES:October 6,2023
Type of Identification:vPi%?e'•` Bonded Thru Notary Public Underwtters Updated 10/9/18