370 12th St ACRS23-0142 Permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS23-0142
PERMIT
ISSUED: 4/10/2023
CITY OF ATLANTIC BEACH EXPIRES: 10/7/2023
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT • 1 OF • '
CODE, ' OF • OF • '
ALL CONDITIONS OF . . PLEASE .
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:
370 12TH ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 1.5 $6900.00
HVAC TON
TYPE OF
• • GROUP:
171929 0000 SELVA MARINA UNIT 01
COMPANY: ADDRESS:
COOLER BEAR HEAT & AIR 864 18TH ST N JACKSONVILLE FL 32250
LLC BEACH
• ADDRESS:
JONATHAN TALAMO 370 12th Street Atlantic Beach FI 32233
REVOCABLE TRUST
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 • . •
!Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4SS-0000-322-1000 1.S $8.00
FURNACES AND HEATING 455-0000-322-1000 18000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:4/10/2023 1 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 0Q1ZS?3'61Q-Z
JOB ADDRESS: 370 7Z"Sr`- PROJECT VALUE $ Cp�hZ� ro
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
�]REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) Z04Y5971
V ❑ Air Handling Equipment Only ❑ Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity / Tons per Unit —_/-S-
Heat:
-SHeat: Unit Quantity / BTU's Per Unit Seer Rating (REQUIRED) �y-d
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
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: l /disc pis-- Y irs o Phone Number: Co/ �g g' 723-3
-
Mechanical Company: 4. OD Pj AS-?*,-- 4 � V-1l4t office Phone: 377-93�01 Fax
Co. Address: le City: /(—R.y� State: /�L_ Zip:�:f,?-Z-50
License Holder: V-1 State Certification/Registration#
Notarized Signature of License Holder
CIO
The foregoi6 ' strument as acknowledged before me this day C-L in the State of Florida,
County of
Signature of Notary Public
ersonally Known OR [ ] Produced Identification
.`•'� °` �; TONI GINDLESPERGER Type of Identification:
*: MY COMMISSION#GG 353178 updated 10/9/18
EXPIRES:October 6,2023
Bonded
Thru No ary Public Underwriters