1962 Francis Ave ACRS23-0091 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:
1962 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
ACRS23-0091
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
ACRS23-0091
ISSUED: 3/10/2023
EXPIRES: 9/6/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Mechanical Permit Application ALL N RMAT
HIGNUGHTED IN
t ' .51'i£. City of Atlantic Beach Building Department GRAY IS REQUIRED.
e 800 Seminole Rd, Atlantic Beach, FL 32233 C? S22, -009N'4',}rf'Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:7\1)-r..)-- ` LIPS
JOB ADDRESS: 'tom f cr., ` PROJECT VALUE ,-,--(,d'' 6r
j NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED) c .. t t tC
d Air Handling Equipment Only t Condenser Only ir Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity 1 BTUs per Unit Seer Rating (REQUIRED) 1 '`Duct Systems:Total CFM _t_r C)
DREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Air Handling Equipment Only D 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
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)
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
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: r`
e
honPhone
Number:x
Mechanical Company: A.) t S Office: ) Fax 11/`
S
5'
Co. Address p im 6.111, lipollik, City:Jr_,/.31 State:Zip: :-. 1:).(5-7
r C C _License Holder t,, C ) ca• fate Certification/Registration# D
Notarized Signature of License Holder ii ,; . ,, ,1,,
The foregoing instrument was acknowledged before me this y of r Vtakeh , 20 23, in the State of Florida,
County of
Signature of Notary Public CcP . Lt .L.o
r,, TRACY S.PULEO personally Known OR [ J Produced Identification
4 t;: Notary Public-State of Florida
Commission A HH 310456 Type of identification:
o,0,7 My Comm.Expires Sep 11,2026
3onded through National Notary Assn.
Updated I0/9J16