284 Seminole Road ACRS22-0310 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS22-0310
_ o ISSUED:9/13/2022
CITY OF ATLANTIC BEACH EXPIRES: 3/12/2023
PHONEMUST CALL INSPECTION , ,
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONt OF THE FLORIDA
CODE, NEC, IPIVIC, 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:
284 SEMINOLE RD MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3.5 $5900.00
HVAC TON
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GR I OUP: -
170511 0000 SALTAIR SEC 01
COMPANY: ADDRESS:
RIX MECHANICAL INC. 1374 S 7TH ST JACKSONVILLE FL 32250BEACH
• ADDRESS:
SEMINOLE ROAD 1817 TWELVE OAKS LN W NEPTUNE BEACH FL 32266
PROPERTIES LLC
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 455-0000322-1000 4 532 C0
FURNACES AND HEATING 455-0000-322-LOGO 42000 $2400
MECHANICAL BASE FEE 45500
00 -3223000 0 555.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $200
Issued Date:9/13/2022 1 of 2
INFORMATION
AdftMechanical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT MA C�''fZSZ Z
JOB ADDRESS:
284 Seminole Road Atlantic Beach, FL 32233 PROJECT VALUE$5, `
❑NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI IJ(REQUIRED)
O Air Handling Equipment Only l7 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
❑REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARIM(REQUIRED) 204861825
Air Handling Equipment Only 0 Condenser Only 0Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.5 14
Heat: Unit Quantity 1 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-IFIRE PLACES r7 MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
fl Vented Wall Furnaces Refrigerator Condenser BTUs
If Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
F—IOT14FR-
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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.�� D � II
Owner Name:Greo&Janet Williams / Seat 1tN0(e SCS, ) Co�[''hP_C Phone Number. (9D4)233-7220
Mechanical Company: Rix Mechanist.Inc. Office Phone: (904)24MO91 Fax
Co.Address: 1374 7th Street south City: Jacksowlle Beach State: FL Zip: 32250
License Holder: David F. Rix State Certification/Registration M CMC042843
LD
Notarized Signature of License Holder c
The forego' ' strument as acknowledged before me this� y 0 'at a State of Florida,
County of
Signature of Notary Public
• '', T111GINDLESPERGER
COMMISSION#GG 353178
MY [ ] Personally Known OR[ ] Produced Identification
,�.
FE' IFES'.Octobela,2023 Type of Identification;
'eoi Fy4`c BonCeEihm No'2n Pu011cUMenpken Updated 1019118