1026 BIG PINE KEY ACRS23-0100 SyL"jJ MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
s
PERMIT ACRS23-0100
- ISSUED: 3/14/2023
Ji31� CITY OF ATLANTIC BEACH EXPIRES: 9/10/2023
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:
1026 BIG PINE KEY MECHANICAL RESIDENTIAL MINI SPLIT - 1 TON $2500.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5060 SELVA LAKES
COMPANY: ADDRESS: CITY: STATE: ZIP:
Tar Heel Heating & Air 518 Rosebud LN NEPTUNE BEACH FL 32266
Conditioning, Inc.
OWNER: ADDRESS: I CITY:
WALKER JUDSON 1026 BIG PINE KEY ATLANTIC BEACH FL. 32233
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 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 12000 $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
Issued Date:3/14/2023 1 of 2
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Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
'CJ, t.
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
st)9',- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: kC RS23-0b0C
10ZJOB ADDRESS: ' .. PROJECT VALUE $ & S2 S
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only it Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit 1 /A—)
Heat: Unit Quantity 1 BTUs per Unit 120'0 Seer Rating (REQUIRED) Z2
Duct Systems: Total CFM iiiL V14itij. S '10-e
n REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only ❑ 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)
nFIRE 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
n 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: VA._. c�.-1 k_e!` .r..)J\ V CA S O r\ Phone Number:
Mechanical Company: 7'14. '*cJ 7 Y` G6. Office Phone: q ,'- ?d-' '3 Fax
Co. Address: �3it 1> I•r i0�-12.( . City: - �9f � Stater( Zip: 3Z2ere
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License Holder: � .5 State Certification/Registration# G1itG /3 48 ciCi 3
Notarized Signature of License Holder ,i ) J
The forego i ument w s acknowledged bef.re me this •ay of £ • P 00 23 the State of Florida,
County of G`-
Signature of Notary Public • k-..S/..-----
SY'�' TONI GINDLESPERGER
: •"'•�:•; [ ] Personally Known OR [ ] Produced Identification
.: .. MY COMMISSION#GG 353178
'--,• �•:7 EXPIRES:October 6,2023
Type of Identification: .l _
-""f:;,f°•' Bonded Thru Notary Public Underwriters Updated 10/9/18