360 BEACH AVE ACRS23-0119 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS23-0119
PERMIT
0;3„ - ISSUED: 3/29/2023
CITY OF ATLANTIC BEACH EXPIRES: 9/25/2023
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: j VALUE OF WORK:
MECHANICAL RESIDENTIAL
360 BEACH AVE HVAC HVAC - 2 A/C, 3.5 & 2.5 TON $6500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170183 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT & AIR JACKSONVILLE
864 18TH ST N FL 32250
LLC BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
GOELZ WILLIAM T 360 BEACH AVE ATLANTIC BEACH FL 32233-5320
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 6 $48.00
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
TOTAL:$107.00
Issued Date:3/29/2023 1 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J2 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: '-\('
JOB ADDRESS: A PROJECT VALUE $ 05-00"�....
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only LI Condenser Only a Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
Lv yP3 Go 75-
'J REPLACEMENT AIR CONDITIONING & HEATING S)STEM INSTALLATION ARI#(REQUIRED) .1°5-12'9(7'4,7
H Air Handling Equipment Only ' Condenser Onl f . H Air Handling Unit& Condenser
Air Conditioning: Unit Quantity -2 Tons per Unit 3.5 [2-5
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED) /5 o
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)
FIRE 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
OTH ER:
immummmimmmimmimimmmi
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: /// 6 e/? / Phone Number:60e-/ .8j/ ' //e/S-
Mechanical Company: i h e r .' /f' .- Office Phone: Fax
Co. Address: g L/ 18'2=5fy City: Ci._-"% State: Zip: 3U5°
License Holder: ��r,7/4o e_e . State Certifi ion/Registration# C /ad sl
Notarized Signature of License Holder _
The foregoi+a-trument ws acknowledges •_eforelne this Zlday ��t/. t�, - the State of Florida,
County of 0 ‘it.)'
Signature of Notary Public �j
TONT GINDLESFERGEy P Y~ 4
.4).•-a,• ., rersonally Known OR [ ] Produced Identification /
cf .: MY COMMISSION#GG 3631
EXPiRES:Catober 6,2023 yr of Identification:
--NE; Bonded Thru Notary Pubic Underwriters ' Updated 10/9/18