85 W 8th St ACRS22-0193 Mech Permit t'r, 'r' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS22-0193
t ISSUED: 6/7/2022
CITY OF ATLANTIC BEACH EXPIRES: 12/4/2022
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:
85 W 8TH ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2 TON $4200.00
HVAC
TYPE OF REAL ESTATEBUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION.: NUMBER: I_ GROUP:
170815 0005 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT&AIR 86418TH STN JACKSONVILLE FL 32250
LLC BEACH
OWNER: ADDRESS: I CITY: I STATE: I ZIP:
FORE PETER P 12851 CHINQUAPIN WAY JACKSONVILLE FL 32246-4107
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.
LIST 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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $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 $2.00
Issued Date:6/7/2022 1 of 2
....17 4.0 Mechanical Permit Application i **ALL INFORMATION
HIGHLIGHTED IN
• i .4„.• •
Clty Of Atlantic Beach Building Department GRAY IS REQUIRED._
411111;)
800 Seminole Rd, Atlantic Beach, FL 32233
` ' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ��SZ�-Q��`
h
JOB ADDRESS: G✓ PROJECT VALUE$¢_1. ZOO
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ 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
y]REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#',REQUIRED) + v 2ott/o76�S
❑ Air Handling Equipment Only CIL
Condenser Only 'Air Handling Unit& C denser
Air Conditioning: Unit Quantity / Tons per Unit
Heat: Unit Quantity / BTU's Per Unit 1 `jell() Seer Rating(REQUIRED) /11.0
Duct Systems: Total CFM A A
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
El ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
n 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
other
governing this
work will be complied with whether specified or not. The permit does not give authority to violate the provisions of��' state or
local law regulation construction or the performance of construction.
Owner Name:1 ca j /r'e ;Phone Number:7217•'/S2' s
Mechanical Company: re—
I 4���� dy_ li�, D'� Office Phone I i2- opei Fax
Co.Address:iZlill City: _ �4— ;State:IIIA Zip:i-2?LJ D I
7
License Holder.i State i•fication/Registration# -/e/Y73
Notarized Signature of License Holder[ ��
The foregoi rument wascknowledged before me this da," IL -, 14n the Stat au
•
County of C9 V 0�
Signature of Notary Public Q--- -.
F ,<`OlP.PY%'. TONI GINDLESPERGER Personally Known OR [ ] Produced Identification
c:. MY COMMISSION#GG 353178 Type of Identification:
"a ,:( EXPIRES:October 6,2023
I. �� QUpdated 10/9/18
''''' ,.5./ Bonded Thru Notary Public Underwriters