50 Seminole Landing Rd ACRS22-0401 Permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
fS s, ACRS22-0401
PERMIT ISSUED: 12/12/2022
CITY OF ATLANTIC BEACH EXPIRES: 6/10/2023
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
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:
50 SEMINOLE LANDING RD MECHANICAL RESIDENTIAL 3.5 ton 42K-BTU AHU, 1.6K $0.00
HVAC CFM duct system
TYPE OF
ZONING: :D •
• • GROUP:
168908 1024 BLUFFS
COMPANY: ADDRESS: CITY: STATE: ZIP:
NICKS SOLAR & AIR 1970 Delray Ave JACKSONVILLE FL 32210
SYSTEMS INC
• ADDRESS:
SHORSTEIN SAMUEL R 50 SEMINOLE LANDING RD ATLANTIC BEACH FL 32233-5945
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I1�
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 • •
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 3.5 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1600 $20.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 1 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 12/12/2022 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(90]4) 247-5826 Fax(904) 247-5845
JOB ADDRESS: �� Wl 1 Vk p 1-e 1 OL n.n�rn�� (� PERNHT# = d�
PROJECT VALUE $ b o ' ARI# (2 ((� i, REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity --5f' Tons Per Unit C
Heat: Unit Quantity�_ BTU's Per Unit Seer Rating
Duct Systems: Total CFM - REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit �l2
Heat: Unit Quantity�- BTU's Per Unit?--/a nve Seer Rating_l y
Duct Systems: Total CFM / t r ) REQUIRED
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#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.
Property Owners Name Phone Numbe -
Mechanical Compan
Co. Address: City Stat Zig= L
License Holder(Print): e fi Cj0on/Registratio
No of IjcA Qa Ider
TRACY S.PUIEO
Notary Public.State of FbAda Before me this day o D-e6c"' _20 _
1 Commission a GG 249605
My comm.EVires Aug 30,2022 Signature of Notary Public
~90ndld ft-MO Notary Assn.