1072 Little Cypress Key ACRS18-0008 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SWANN STEPHEN C 332 3RD ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
NORTHPORT
CONSTRUCTION GROUP
dba NORTHPO
2905 SPRING PARK RD JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5822 SELVA LAKES UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1072 LITTLE CYPRESS KEY MECHANICAL RESIDENTIAL
HVAC
replace 3.5-ton 40K-BTU
AHU $4000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $10.70
FURNACES AND HEATING 455-0000-322-1000 40000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
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: 5/5/2023
PERMIT NUMBER
ACRS18-0008
ISSUED: 5/5/2023
EXPIRES: 11/1/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL: $117.70
2 of 2Issued Date: 5/5/2023
PERMIT NUMBER
ACRS18-0008
ISSUED: 5/5/2023
EXPIRES: 11/1/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0008
Description:replace 3.5-ton 40K-BTU AHU
Estimated Value: 4000
Issue Date: 1/11/2018
Expiration Date: 7/10/2018
PROPERTY ADDRESS:
Address: 1072 LITTLE CYPRESS KEY
RE Number:172027 5822
PROPERTY OWNER:
Name: SWANN STEPHEN C
Address: 332 3RD ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NORTHPORT CONSTRUCTION GROUP dba NORTHPO
Address: 2905 SPRING PARK RD TIMUR ISPARYAN
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
A notice of Commencement is only required for work exceeding an estimated value of
2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 C (L S — 00 O
JOB ADDRESS: O Z ! "/e nt PERMTT#
PROJECT VALUE $ h1l 0 0 0 ARI# !' 2 REQUIRED
Air Handling Equipment Only k"'A—ir Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Seer Ratin
Heat: Unit Quantity BTU's Per Unit gREQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3-S_
Seer RatingHeat: Unit Quantity BTU's Per Unit 0 0 gREQUIRED
Duct Systems: Total CFM
FIRE PREVENTION 3 sets of laps)Fire Sprinkler System Quantity Requires p
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity Outlets Pumps
Veened WFulaces Refrigerator Condenser BTU's
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 1 have readthisapplicationandknowthesametobetrueandcorrect. 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 provisionsofany other state or local law regulation construction or the performance of construction.
of
Property Owners Name
t f
h C - tjj4ju Phone Number q23-04 l —
Mechanical Company OK eat ANLY Q!R Office Phone'I$1y' Fax 1 1'gZ
Co. Address:aD 6 S c;4) k City A-A State Tt-- Zip 3229 T
T I R y State Certification/Registration#Cup 125nA3 0(
License Holder(Print):
Notarized Signature License Holder
ALMIR HADZIC B fore me this day of 20 IR
My COMMMMWN/G006W2
ECPM Fkwuwy 01.=Si griature of Notary
Scanned by CarnScanner
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f Cash Receipt
City ofAtlanticBeach 97
DESCRIPTION CITY PAID
PermitTRAK 107.00
ACRS18-0008 Address: 1072 LITTLE CYPRESS KEY APN: 172027 5822 107.00
MECHANICAL 103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 55.00
AC AND REFRIGERATION 455-0000-322-1000 4 24.00
FURNACES AND HEATING 455-0000-322-1000 40000 24.00
STATE SURCHARGES 4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 2.00
STATE DCA SURCHARGE 45500002080700 0 2.00
TOTAL 1 11
Date Paid: Thursday, January 11, 2018
Paid By: NORTHPORT CONSTRUCTION GROUP d
Cashier: BA
Pay Method: CREDIT CARD 2
SPrinted:Thursday,January 11, 2018 9:25 AM 1 of 1
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