1030 Beach Ave ACRS22-0181 Mech Permit ie'"`" MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
_} PERMIT ACRS22-0181
a7 CITY OF ATLANTIC BEACH ISSUED: 5/31/2022
.=',1:011 EXPIRES: 11/27/2022
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: j PERMIT TYPE: I DESCRIPTION: I VALUE OF WORK:
1030 BEACH AVE MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 4 TON $5500.00
HVAC
TYPE OF CONSTRUCTION: REALNUMBER:ESTATE ZONNG: BU GROUP:DING E SUBDIVISION::
170257 1000 , ATLANTIC BEACH
COMPANY: ADDRESS: CITY: 1 STATE: I ZIP:
SCOTT AIR OF FLORIDA, 9556 S HISTORIC KINGS RD APT 306 JACKSONVILLE FL 32257
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
GERBER THOMAS 920 10TH ST SW ROCHESTER MN 55902
CHRISTOPH ET AL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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.
UST`,OF CONDITIONS
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 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:5/31/2022 1 of 2
Mechanical Permit Application **ALL INFORMATION
' `r HIGHLIGHTED IN
r-f S`-' City of Atlantic Beach Building Department GRAY IS REQUIRED.
'V `r 800 Seminole Rd, Atlantic Beach, FL 32233
.ts1' Phone: (904) 247-5826 Email: Building- ept@coab.us PERMIT#:
/ cr 1
JOB ADDRESS: ' L) O _�(___ -._ _ __-_ Z.- PROJECT VALUE $ 55 V U t
,,,
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION `'.SRI#(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)
D ct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# EQUIRED)_7C)4 41 C)
El Air Handling Equipment Only 0 Condenser Only Air Handling Unit& Condenser
(Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Un.A., A 0 Seer Rating (REQUIRED)
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 ❑MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
EAU_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:' r�1`' e_c !Phone Number: 1
Mechanical Company:. SCCA NT- 'C oCiC\ iOffice Phone:,g01-1Z55Fax
Co.Address: Gt.e, SS S..-C- Kt Mss W, 5 SDC l City: -"ii-4::-.— State:FL- 1 Zip::-2Z 7
License Holder: -- -RIAN— ,State Certification/Registration#, i;CrA j(v2-7
Notarized Signature of License Holder i
The foregoing instrument was acknowledged before me this [' .ay of %NA] , 20432-in the State of Florida,
Co t .of �\
`'"Y� NotaryFubAcstaceoiFiorida Signature of Notary Public '-C; `\\C, tbE'S�G
5Vicki Hallenbeck
ti t,, My Commission HH 004767 '44 Personally Known OR [ ] Produced Identification
-.,e,roc Expires 05/28/2024
ype of Identification:
Updated 10/9/18