725 Atlantic Blvd Unit 1 ACRS23-0069 - HVAC Replacement Rooftop App ,r. **ALL INFORMATION
Mechanical Permit Application ALL INFORMATION
(-: ,,j,,;)
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
,r /
� . --00
Phone: (904)u247-5826�.' Email: Building-Dept@coab.us PERMIT It: AC.7273
69
JOB ADDRESS: 125 �}'�I(4), , !>,a� 5,0.-6 ...1 PROJECT VALUE $ '7,,,C 15 "- -
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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ...AD t+''/g9a
❑ Air Handling Equipment Only ❑ Condenser Only Oir H ndling Un,t& ondenser
Air Conditioning: Unit Quantity I Tons per Unit . ,
Heat: Unit Quantity 1 BTU's Per Unit (pD OCi 0 Seer Rating (REQUIRED) /V
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)
El FIRE PLACES n 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
ElOTHER:
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
Owner Name: • '4 Sial- /i t (a.d'" �I ,�„,rjf 1//
Z Phone Number: eZ r . •foe
Mechanical Company: �0d`yI Sete4 j4L1S-4-1, r' Office Phone: ,37t 0,1)9 Fax
Co. Address: ,oef /c City: (2404r0--- State: f Zip: i>l
License Holder: 46/AakatAL.... State Cer ation/Registration# C4C /art t&,
Notarized Signature of License Holderll /�
The foregoing instrument was acknowledged before me this I d. • :IIA g r .. 202 , i the State of Florida,
County of iAivwl
Signature of Notary Pu.,*` �--~
`� -: VANESSA ANGERS [ j Personally Known OR [Produced Identification
i,:. --4...,::;: MY COMMISSION#HH 244118 Type of Identification: r(, DI,- P-300-- Ci(v3 -(,-,L1-ZCi -0 "PX:eK i Pre-ec(�
EXPIRES:March 23,2026 /
%.4..,:i,,:,,?,,..,:.-- Updated 10/9/78
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT
ISSUED: 2/21/2023
;3 ,� CITY OF ATLANTIC BEACH EXPIRES: 8/20/2023
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:
725 ATLANTIC BLVD UNIT 1 MECHANICAL RESIDENTIAL Rooftop 1 AHU - 5.0 Tons &
HVAC 60K BTUs $7395.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171363 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT& AIR JACKSONVILLE
864 18TH ST N FL 32250
LLC BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
ATLANTIC-PENMAN LLC 500 S 3RD ST JACKSONVILLE FL 32250
BEACH
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:2/21/2023 1 of 2
- i>51-[ 'L.T---
',' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
t 0 PERMIT
ACRS23-0069
ISSUED: 2/21/2023
4 s3 v CITY OF ATLANTIC BEACH EXPIRES: 8/20/2023
STATE DCA SURCHARGE I 455-0000-208-0600 I 0 $2.00
TOTAL:$127.00
Issued Date:2/21/2023 2 of 2