31 17th St MCRS23-0006 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
OSKARSSON AN T 31 17TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
HAMMOND AIR
CONDITIONING INC 3412 GALILEE RD JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169612 0000 OCEAN GROVE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
31 17TH ST MECHANICAL RESIDENTIAL
OTHER
HOOD VENT AND DUCT
MODIFICATION $0.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
CONVERSION BURNERS FURNACES AND HEATING UNIT 455-0000-322-1000 0 $10.00
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: 4/3/2023
PERMIT NUMBER
MCRS23-0006
ISSUED: 4/3/2023
EXPIRES: 9/30/2023
MECHANICAL RESIDENTIAL OTHER
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $89.00
MCRS23-0006 Address: 31 17TH ST APN: 169612 0000 $89.00
MECHANICAL $85.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
CONVERSION BURNERS FURNACES AND
HEATING UNIT 455-0000-322-1000 0 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R22820 $89.00
Printed: Monday, April 3, 2023 4:31 PM
Date Paid: Monday, April 03, 2023
Paid By: HAMMOND AIR CONDITIONING INC
Pay Method: CREDIT CARD 845429765
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R22820
MCRS23-0006