1853 Selva Grande Dr ACRS22-0305 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS22-0305
ISSUED: 9/6/2022
CITY OF ATLANTIC BEACH EXPIRES: 3/5/2023
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS
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.
• • • • r • • • • • •
1853 SELVA GRANDE DR MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 4 TON $7000.00
HVAC
TYPE OF BUILDING
CONSTRUCTION: NUMBER: GROUP:
169542 5028 SELVA TIERRA
COMPANY: ADDRESS:
COOLER BEAR HEAT&AIR 86418TH ST N JACKSONVILLE FL 32250
LLC BEACH
• ADDRESS:
BRINKLEY ROBERT 1 1853 SELVA GRANDE DR ATLANTIC BEACH FL 32233-4526
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT Il�
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.
7STATE
TION ACCOUNT QUANTITY PAID AMOUNT
GERATION 4550000-322-]000 4 $32.00
D HEATING 455-0000322-1000 48000 $24.00
BASE FEE 455-00.0'-322-100'0 0 $55.00
URCHARGE 455-0000 208 0200 0 $300
RCHARGE 4550000-2080600 0 $200
Issued Date:9/6/2022 1 of 2
'*ALL DN
Mechanical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ((Z�[�
Phone: (904) 247-5826 Email:
,Building-Dept ancoab.us PERMIT#:A(+IRS22 S
JOB ADDRESS: 1853 Shc/t Gra. e PROJECT VALUE$ 7/000'0
❑NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#/REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
��Duct Systems: Total CFM
2REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) �yf•;Gyi3
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity / Tons per Unit 0/
Heat: Unit Quantity / BTU's Per Unit 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)
F-1 FIRE PLACES ❑ 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
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 c construction.
Owner Name: e, +'Lea e �•^ & Phone Number: e&I• 961I/I
Mechanical Company: ti Office Phone: !?;Z- ?Z& Fax
Co.Address: 'wel �� /V City: C" o6;4 State: t7— Zip: 3701510
License Holder: e � State Cert ifi ti egistration# e4fe rt 7S/
Notarized Signature of License Holder
The forego ru ent as acknovvedge a me this d 2 �
0 "e State of Florida,
County of= _
Signature of Notary Public
TONI GINDLESPERGER �[�Personally Known OR[ ) Produced Identification
PCOMMISSION#GG 353178 Type of identification:
"ES'.October8,2023 updated 10/9118
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