1212 Linkside Dr ACRS23-0095 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MILLER GILBERT SHANNON
JR 1212 LINKSIDE DR ATLANTIC BEACH FL 32233-4387
COMPANY:ADDRESS:CITY:STATE:ZIP:
COOLER BEAR HEAT & AIR
LLC 864 18TH ST N JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172374 5045 SELVA LINKSIDE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1212 LINKSIDE DR MECHANICAL RESIDENTIAL
HVAC 1 AHU - 3.0 Tons & 36K BTU $6900.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
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: 3/10/2023
PERMIT NUMBER
ACRS23-0095
ISSUED: 3/10/2023
EXPIRES: 9/6/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $107.00
2 of 2Issued Date: 3/10/2023
PERMIT NUMBER
ACRS23-0095
ISSUED: 3/10/2023
EXPIRES: 9/6/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Mechanical Permit Application ALL INFORMATION
4--9.,
L.A,v,.
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
fl
ti 800 Seminole Rd, Atlantic Beach, FL 32233
yPhone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Ac c23-CO9 5
JOB ADDRESS: /,,2,/_2 44.7;04j,Ori 4, PROJECT VALUE$ log 9d d
n NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIREDgg
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
XREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIREDJ 4 `I a 9aJd
Air Handling Equipment Only Condenser Only XAir Handling Unit& Condenser
Air Conditioning: Unit Quantity f Tons per Unit _3
Heat: Unit Quantity / BTU's Per Unit Zio/ Seer Rating (REQUIRED)As.
Duct Systems:Total CFM 2-e4Z
Ill 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 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
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 performanceeiof construction.
Owner Name: .-SI Ir4/it,e'n 07.'"- i / ,
J/
Phone Number: 35f"a7js
Mechanical Company: (
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4 PVA/ Office Phone: IV'95i/Fax
Co.Address: 8ó4
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S 't" City: `'<edt--State: r-z Zip:
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License Holder: 644301 State Certification/Registration# ac ( g /a mg
Notarized Signature of License Holder / ii ,_
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The foregoing instrument was acknowledged before me this (0 day of . arc , 20Z3, in the State of Florida,
County of OA Li,l
Signature of Notary Public
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Y ••.•
a :VANESSA ANGERS Personally Known OR [ Produced Identification
MY COMMISSION#HH 244118 Type of Identification:t' OL I'-300- 17b3- G4-1 ._ 213 0 'grewfcv, Peed yEXPIRES:March 23,2026 Updated 10/9/18