880 BEACH AVE ACRS22-0236 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
ADAMS WILLIAM 880 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
COOLER BEAR HEAT & AIR
LLC 864 18TH ST N JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170320 0000 CLUB MANOR
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
880 BEACH AVE MECHANICAL RESIDENTIAL
HVAC DUCT WORK $11995.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 2600 $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
TOTAL: $87.00
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: 7/6/2022
PERMIT NUMBER
ACRS22-0236
ISSUED: 7/6/2022
EXPIRES: 1/2/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
2 of 2Issued Date: 7/6/2022
PERMIT NUMBER
ACRS22-0236
ISSUED: 7/6/2022
EXPIRES: 1/2/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ACs 22- 023
rty>>`irr, Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
J "' City of Atlantic Beach Building Department CGRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: '&5-12'e:Vyg
JOB ADDRESS: 8 80 L Are PROJECT VALUE $ fi, 'HS
n 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 '
‘PLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) .5
g
❑ Air Handling Equipment OnlY ❑ Condenser Only ❑ Air Handling Unit& Conn er
Air Conditioning: Unit Quantity Tons per Unit ,
Unit Quantity BTU's Per Unit Seer Rating (REQUIRED
°r— Duct'S ste . Total CFM 0000-6 .
❑FIRE PREVENTION Sy�
Fire Sprinkler System Quantity (Requires 3 sets of plans) y
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 n 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)
Well
OTHER:
= f,I��_` .200 .c/Wad e/f „� Il Al (-70.4'1
P�l� a,.,c� � � l �� di�ail�?3
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 constructionon� or the performance of construction...t
Owner Name: ,7•// I / 1J.4c .3 4caw51. 4.1140 Phone Number:
Mechanical Company: 41:411 Gi<ref ,01I1 P(% f Office Phone: 3 - 93s', Fax
Co. Address: Rc ef /iet-, ,5C", City: 0.y. zee_ State: )2 zip:Susi,
License Holder: eine. .+ State if' ation/Registration# C,�IP/17J,
Notarized Signature of License Holder
The forego nstrument *as acknowledged before me this ':�,,, -� .r ,0 in e State of Florida,
County of 0 t)o.,....
ignature of Notary Public •
: Yep ,. 70NIGINDLESPERGER -ersonall Known OR Produced Identification
'�° ,.. MY COMMISSION#GG 353178 1 Y I
,:o EXPIRES:October 6,2023 pe of Identification:
.'•'•',$•o �b'' Bonded Thru Notary Public Underwriters Updated 10/9/18
,4c�ES22- OZ3�
„E-„,„_„,
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
" City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
•.F'j Jiil�r � /
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ,CESU-oigq
JOB ADDRESS: 8 8e) L 47rPROJECT VALUE $ /1 915
(l 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)
,�REDuct Systems: Total CFM '
Lr( PLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) .50 friAinii51
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air HandlingUnit& Condln
er
Air Conditioning: Unit Quantity Tons per Unit
Unit Quantity BTU's Per Unit Seer Rating(REQUIRED
°t— Duct S ste Total CFM ofopb .
❑FIRE PREVENTION Srn '"
Fire Sprinkler System Quantity (Requires 3 sets of plans) y
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)
7FIRE PLACES n 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)
l Wells
OTHER: R/1 j= G� d C /6ns ,toe) ,4,c,ad'fes •h, I-!Gia ( I' 41
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: 17•// iletiolos/ r r,'4,.S 4-44-5/04.3.5 Phone Number:
Mechanical Company: �'��' / Wpc4/ Office Phone: 372-95/g Fax
Co.Address: g6 q /AI' C y, City: �.). Zoe.- State: / . Zip:S Z2Sa
License Holder: �i16...46. dei 4/ State C: if ation/Registration# c4e/P/a u,
Notarized Signature of License Holder // �►
The forego nstrument w(as acknowledged before me this Co'� -) P 0 _ m e State of Florida,
County of 0 t/c�
ignature of Notary Public 9_ _
S;ii;ii %,, TONI GINDLESPERGER •ersonall Known OR Produced Identification
i.:0,4-.42.„.i)�w� • ., MY COMMISSION#GG 353178 I Y
EXPIRES:October 6,2023 , pe of Identification:
F of F•2 Bonded Thru Notary Public Undervrtlters
�_ Updated 10/9/18