1824 Ocean Grove Dr ACRS22-0145 Mech Permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS22-0145
CITY OF ATLANTIC BEACH ISSUED: 5/3/2022
EXPIRES: 10/30/2022
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 res fictions 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:
1824 OCEAN GROVE DR MECHANICAL RESIDENTIAL HVAC-3 A/C, 3 AHU, 2.5 $12960.00
HVAC TON EACH
TYPE OF REAL ESTATE ZONING: I BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169623 0010 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: I ZIP:
A1A HEAT&AIR 3016 S 3RD STREET JACKSONVILLE FL 32250
BEACH
OWNER: I ADDRESS: CITY: STATE: ZIP:
BROSE GARY D 1824 OCEAN GROVE DR 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 l
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 7.5 $56.00
FURNACES AND HEATING 455-0000-322-1000 90000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.09
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:5/3/2022 1 of 2
Mechanical Permit Application **ALL INFORMATION
,' HIGHLIGHTED IN
i'-'.4, City of Atlantic Beach Building Department GRAY IS REQUIRED.
'i 800 Seminole Rd, Atlantic Beach, FL 32233
. Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:\Q-C2Z 0145
JOB ADDRESS:''I$i2(4OCC-PCAI G1.YL�7 IC—.I 2/ A . Z2-2-3`3 PROJECT VALUE $ .12) 0 Q
❑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
["REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) `2.o 41/44-0256‘
0 Air Handling Equipment Only 0 Condenser Only llir Handling Unit& Condenser
Air Conditioning: Unit Quantity 3 Tons per Unit 2.5
- Heat: Unit Quantity BTU's Per Unit 30/MO Seer Rating (REQUIRED) 1 CI-
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 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)
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: 4l°fn-`7 &'20S1� : Phone Number: 80453 S-S$d 2-
Mechanical Company:'A17 ..M(2ccV i. IA.V2. Office Phone:"41O(4)ZOS2 ?N Fax
Co.Address: .0 `S3 rtn f°\'VG S, 1A3C€CAS. '522 So , City:'Sl ry12\CI-'l -f State::E5___.-;Zip:! 3`22$
License Holder: -fivvo�2 G1 i'v(_\ 5,, ;ili State Certification/Registration#,CAC ( S 1907S-
Notarized Signature of License Holder 16 ....
The foregoing instrument was acknowledged before me this 2 day of 12,. .,,, , 'n th tate of Florida,
County`.. ik, _ ,,,R,..
"'' Signature of Notary Public
. Notary Public / .
-: At _ State of Florida I 1 Personally Known ORJ (Produced Identification
—..,;,,,b. Comm#HH151804
E191� Expires?/11/2025 Type of Identification: TL:al_ C.67E- &fes -°4_ -`Zsc:3 -0
Updated 10/9/18