1656 W PARK TER ACRS22-0109 (-----
itc1 ' MECHANICAL RESIDENTIAL HVACPERMIT NUMBER
'\ PERMITACRS22-0109
ISSUED: 4/11/2022
o,;„ CITY OF ATLANTIC BEACH EXPIRES: 10/8/2022
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:
1656 W PARK TER MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 5 TON $7444.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0160 SELVA MARINA UNIT 06
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA COOLING STORE, 6211 JAMISON CT JACKSONVILLE FL 32257
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
GLAWE RANDALL S 1656 W PARK TER ATLANTIC BEACH FL 32233
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 lialir
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:4/11/2022 1 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.us PERMIT U: �RSZZ--6K
JOB ADDRESS: 1656 Park Terr W , Atlantic Beach, FL PROJECT VALUE $7,444.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 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
IIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 8908614
❑Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 5.0
Heat: Unit Quantity 1 BTU's Per Unit 60,o00 Seer Rating (REQUIRED) 14.00
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 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
[OTHER:
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:Rick Glawe Phone Number: (904)234-7654
Mechanical Company: Flroida Cooling Store Inc • ire Phone: (904)302-9507 Fax
Co. Address: 8802 Corporate Square Ct#402 ,. / •', Jacksonville State: FL Zip: 32216
License Holder: Eric Ancliffe A/ e Certification/Registration # CAC1813316
Notarized Signature of License Holder 111V
I
The foreg 'TM-instrument\A/4s acknowledged b:.or: e this 1 / day o , - 0--i G, 4ia „!:in the State of Florida,
County of Q__.-\ 7
Sigl3ature'of Notary Public
i ...e.,*., TONI GINDLESPERGER
•' • MY COMMISSION#GG 353178
:"- [ ] Personally Known OR [ ] Produced Identification
: •:;1 EXPIRES:October 6,2023
` OP'
Boridei Thru Notary Public Underwriters Type of Identification: p A.
Updated 10/9/18