183 JACKSON RD ACRS22-0232 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
D & L ENTERPRISES LLC 13925 HUNTERWOOD RD JACKSONVILLE FL 32225-1905
COMPANY:ADDRESS:CITY:STATE:ZIP:
Elite AC, LLC 6060 Chester Circle JACKSONVILLE FL 32217
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172129 0200 DONNERS S/D PT LOT 2
17-
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
183 JACKSON RD MECHANICAL RESIDENTIAL
HVAC
HVAC - 1 A/C, 1 AHU, 2.5
TON $4892.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 27400 $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
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: 7/11/2022
PERMIT NUMBER
ACRS22-0232
ISSUED: 7/11/2022
EXPIRES: 1/7/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $99.00
2 of 2Issued Date: 7/11/2022
PERMIT NUMBER
ACRS22-0232
ISSUED: 7/11/2022
EXPIRES: 1/7/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ACRS22-0232
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS22-0232 Address: 183 JACKSON RD APN: 172129 0200 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 27400 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R20059 $99.00
Printed: Monday, July 11, 2022 4:51 PM
Date Paid: Monday, July 11, 2022
Paid By: Elite AC, LLC
Pay Method: CREDIT CARD 666441627
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R20059