812 OCEAN BLVD - ACRS22-0243 11 '11.1 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS22-0243
t) xISSUED: 7/15/2022
��;; ,,, CITY OF ATLANTIC BEACH EXPIRES: 1/11/2023
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:
MECHANICAL RESIDENTIAL Private provider HVAC 3 4
812 OCEAN BLVD HVAC TON , ONE 2 TON, ONE ONE $30000.00
TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170335 0000 PARK TERRACE
COMPANY: ADDRESS: CITY: STATE: ZIP:
ADVANCED VENTILATION 12625 Daylight Trl Jacksonville JACKSONVILLE FL 32218
LLC
OWNER: ADDRESS: , CITY: STATE: I ZIP:
REED DAVID E 10898 BRIDGES RD JACKSONVILLE FL 32218
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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.
Ai- Aims& 411
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 15 $100.00
FURNACES AND HEATING 455-0000-322-1000 180000 $36.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55 00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 87
Issued Date:7/15/2022 1 of 2
Mechanical Permit Application **ALL INFORMATION
,;.,,..A,,,;, MM HIGHLIGHTED IN
4 X-
+ �Y, City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 €-1R22 -OZ 43
"� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 2GS21 - OISS
JOB ADDRESS: IS , Z OCL+9 i-A 13/V 0 *0 3 2- 2 3-2 PROJECT VALUE $ gcrdo 0
•r4NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 1.0.1( b q to
0 Air Handling Equipment Only 0 Condenser Only ®Air Handling Unit& Condenser
Air Conditioning: Unit Quantity S Tons per Unit-I/ (5rd ] -2-40 r c_ r+Q<= - I -f DC1
Heat: Unit Quantity S BTUs per Unit 'Ii Ooo Seer Rating (REQUIRED) 1
Duct Systems: Total CFM Est_glo e
[-REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
[l Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
r1FIRE 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
EIALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
If 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: 1 A'J 11) 'C,Z e et) Phone Number:' O / yt --.1 1,O I/
Mechanical Company: 14-6JPtri c,ecI U Crnfit A41,N.r+ LLC. Office Phone: 70Y•q/Ut) 0f x
Co.Address: 1(SI"l Ou.1•1 Cre f,(C 1 . City: SeTeks tpdk,v, tic State: 1—(- Zip: �p., /.4)
License Holder: 216.1Ar ci Pol-.-c• I ( State Certification/Registration# (' lcc 16 3 7 of
Notarized Signature of License Holder (�(, `cam -- p
The foregoinginstrument was acknowledged before me this �C) day of aJ d , 20,-Z in the State of Florida,
Count of 1 V�,-7 (111
Signature of Notary Public � l�
" Zt MELISSA A. MEJIA
i,../r: MY COMMISSION#HH 231803 [ ] Personally Known OR Produced Identification
'd??,'„%o`' EXPIRES:February 21,2026 Type of Identification: \-(4/ 01._--
_
. 1 s .0.i.rrAT Updated 10/9/18