1956 Francis Ave ACRS23-0088 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
CHRIS LAMBERTSON 355 11TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
NICKS SOLAR & AIR
SYSTEMS INC 1970 Delray Ave JACKSONVILLE FL 32210
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1956 FRANCIS AVE MECHANICAL RESIDENTIAL
HVAC
1 AHU - 3.0 Tons & 36K BTU,
Duct 1200 CFM $9600.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
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
STATE DCA SURCHARGE 455-0000-208-0600 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
ACRS23-0088
ISSUED: 3/10/2023
EXPIRES: 9/6/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $127.00
2 of 2Issued Date: 3/10/2023
PERMIT NUMBER
ACRS23-0088
ISSUED: 3/10/2023
EXPIRES: 9/6/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
101Nlr}, Mechanical Permit Application AU.I FORT TION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
ler 800 Seminole Rd, Atlantic Beach, FL 32233 A C1-c2i -ccs
Phone: (904) 247-5826 Email: Buildin -Det coab.us
j (
p PERMIT#: ` s
JOB ADDRESS: 1) 4 ( S JJ1ROJECTVALUE $ L tCCO . tl)
aLvEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED). C S I l CP• (.)
in Air Handling Equipment Only CI Condenser Only cAir Handling Unit& Condenser
Air Conditioning: Unit Quantity ( Tons per Unit
Heat: Unit Quantity 1 BTUs per Unit 31 e ,CC(i Seer Rating (REQUIRED) t -
Duct Systems:Total CFM 1_ )C
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 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
EFIRE 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)
EFIRE 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
CI 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: An alto "P 1 Phone Number:
oliv
Mechanical Company: \) I f.." [,i Lei..,I Office Phone: 9 5; -Fax 1/1/CA,.
Co. Address: k I£'Lt A` ois R" 1 i. + City: Stater Zip:- eta r
License Holder M 'a N_I tate Certification/Registration# cfvea56.5e
Notarized Signature of License Holder a
The foregoing instrument was acknowledged before me this
r
1 d y of ikA.(1RCJ , 2023, in the State of Florida,
County of L u of l
Signature of Notary Public G 3Pt.A.l. b
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lis''6.~:.,TRACY S.PULED 0
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c: Notary Public•State of Florida I [Personally Known OR [ ] Produced Identification
40,"6.i::,TRACY
Commission k HH 310456 Type of Identification:torr Q,r My Comm.Expires Sep 11,2026 yp
4 Bonded through National Notary Assn. (Updated 10/9/18