376 10th Street ACRS23-0070 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
LUCERO MICHAEL 11644 SHERBORNE CIR S JACKSONVILLE FL 32225
COMPANY:ADDRESS:CITY:STATE:ZIP:
A/C DESIGNS OF ST
AUGUSTINE 3370 AGRICULTURE CENTER DR ST.AUGUSTINE FL 32092
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170053 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
376 10TH ST MECHANICAL RESIDENTIAL
HVAC
2 AHUs - 2.5 Tons & 30K BTU
& 2000 CFM Duct $6800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
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 $2.15
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 2/21/2023
PERMIT NUMBER
ACRS23-0070
ISSUED: 2/21/2023
EXPIRES: 8/20/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ACRS23-0070
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $147.15
2 of 2Issued Date: 2/21/2023
PERMIT NUMBER
ACRS23-0070
ISSUED: 2/21/2023
EXPIRES: 8/20/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $147.15
ACRS23-0070 Address: 376 10TH ST APN: 170053 0000 $147.15
MECHANICAL $143.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
STATE SURCHARGES $4.15
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R22367 $147.15
Printed: Tuesday, February 21, 2023 4:57 PM
Date Paid: Tuesday, February 21, 2023
Paid By: A/C DESIGNS OF ST AUGUSTINE
Pay Method: CREDIT CARD 819199800
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R22367