1763 E Park Terrace ACRS22-0407 Permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS22-0407
v ISSUED:
CITY OF ATLANTIC BEACH EXPIRES:
MUST CALL INSPECTION PHONE LINE •0, 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:
1763 E PARK TER MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 3.5 $7000.00
HVAC TON EACH & DUCT SYSTEM
TYPE OF
ZONING: :D •
• • GROUP:
172020 0412 SELVA MARINA UNIT 08
COMPANY: ADDRESS:
Oakleaf Heating and Air 4623 Lambing Road Jacksonville FL 32210
LLC
•
ADDRESS: STATE: i ZIP:
WILLIAMS DANIEL 1763 PARK TERRACE EAST ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I�
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 • . •
i 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 7 $56.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
FURNACES AND HEATING 455-0000-322-1000 84000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.39
Issued Date: 1 of 2
ALL
Mechanical Permit Application **HIGHLI HIGHLIGHTED
IN HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J
800 Seminole Rd, Atlantic Beach, FL 32233U>-SZ Z—^ 04t�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1ESL� Oise
JOB ADDRESS: ' C PAie..IC� I �'rw'�AG� � . PROJECT VALUE $ 7 �-
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) o �S j6
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity r2 Tons per Unit 3.5 gall. ,r
Heat: Unit Quantity ;;t- - BTUs per Unit T Seer Rating (REQUIRED)
Duct Systems: Total CFM $nn - IyoU EAC.4-
❑REPLACEMENT 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 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-]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 construction.
Owner Name: P Aua-F.QA A4 Phone Number: d 1 i-=6 J
Mechanical Company: OAWc-64 4cva4i1 Office Phone:Crowal9 c6"1C I Fax
Co. Address: A 11d, City: JR c.k,>oNV,)k C �State: Zip: -52110
�>4u1a
License Holder: 4 � -C' —d�
I tate Certification/Registration# C a C-/IVr o,1
'I
Notarized Signature of License Holder
The foregoi trument w s acknowledged before me this) da --- ,2 �n the State of Florida,
County of �l'
Signature of Notary Public
TONIGINDL!Zubk
PERGER [ ] Personally Known OR [ ] Produced Identification
04
MY COMMISSIO #GG 353118 Type of Identification: .
rp' EXPIRES:Ocer8,2023 Updated 10/9/18
Bonded Thru Notary Undwxftem