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703 SELVA LAKES CIR ACRS22-0120 terN, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS22-0120 PERMIT ISSUED: 4/15/2022 ,t_f, CITY OF ATLANTIC BEACH EXPIRES: 10/12/2022 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: 703 SELVA LAKES CIR MECHANICAL RESIDENTIAL RELOCATE 3 TON AHU $1500.00 HVAC TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172027 5872 SELVA LAKES UNIT 03 COMPANY: ADDRESS: CITY: STATE: ZIP: Matthew Michael Williams 3219 Southwell Court JACKSONVILLE FL 32225 OWNER: ADDRESS: CITY: STATE: ZIP: AURORA M PERRIER 214 OAK ST NEPTUNE BEACH FL 32266 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 Agit, j DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 3 $24.00 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 TOTAL:$83.00 Issued Date:4/15/2022 1 of 2 •t4`J�� Mechanical Permit Application **ALL INFORMATION JS� '-`� HIGHLIGHTED IN r "' City of Atlantic Beach Building Department GRAY IS REQUIRED. fl 800 Seminole Rd, Atlantic Beach, FL 32233 ���!On�rC Z-C 7r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1 0-t�S2Z—O t JOB ADDRESS: 1 © 9 S F l VA ll4-n-S ilC I R.. PROJECT VALUE$ 1500 n NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) CAir Handling Equipment Only ❑ Condenser Only_ ❑ Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit Heat: Unit Quantity BTUs per Unit )7bib40 Seer Rating (REQUIRED) 14 Duct Systems: Total CFM 1-2,O0 fl REPLACEMENT 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 BTU's Per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM El 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) n FIRE PLACES n 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 FE-tool THER: E( oCAylivb- Air2 -/A�/h1C/� 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: AV2O(2.Pc PEteR.jft/ Phone Number: S®O f-1/6 '7 4 Mechanical Company: MPrrl Ft6✓ M(c(a( PA, L/i'(tR'-" Office Phone: C(et q-9-f 37 Fax Co. Address: 3 I 1c1 fo ilii v 7/ c ? City: Jfr->c. State: a Zip: 32. 7 License Holder: _MA-Tr ACw jvt/c F{-Ag ( (,f(ufIPMrState Certification/Registration# C AC f ' /c(80 3 x--Notarized Signature of License Holder The foregorng,instrurnenntvas acknowledged before me this \J day •f �r C" 0 2 'n he State of Florida, County dd��jj ) V) VV ff Signature of Notary Public _...______c) _ - r'lnpc" ^-�loNIGINDLESPERGER [ j Personally Known OR [ ] Produced Identification g MY COMMISSION#GG 353178 _'`�Type of Identification: 1J L----•7�. EXPIRES:October 6,2023 Updated 10/9/18 •,O!` :-C d Thru Notary Public Underwriters