1665 SELVA MARINA DR ACRS23-0298 c51 �Jrl MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
�\ ACRS23-0298
PERMIT
ISSUED: 8/9/2023
r,o1119CITY OF ATLANTIC BEACH EXPIRES: 2/5/2024
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:
1665 SELVA MARINA DR MECHANICAL RESIDENTIAL HVAC CABANA - MIN SPLIT 1
HVAC TON $5500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171996 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS: CITY: STATE: ZIP:
BILL WILLIAMS Air 3562 LENOX AVE JACKSONVILLE FL 32254
Conditioning & Heating
OWNER: I ADDRESS: CITY: STATE: ZIP:
HEWETT PHILLIP M 1665 SELVA MARINA DR 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:8/9/2023 1 of 2
0_.:_''"`- MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
p ,
z V PERMIT ACRS23-0298
ISSUED: 8/9/2023
0;119', CITY OF ATLANTIC BEACH EXPIRES: 2/5/2024
r TOTAL:$91.00
Issued Date:8/9/2023 2 of 2
Mechanical Permit Application �' y'� **ALL INFORMATION
'' HIGHLIGHTED IN
r,
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
7kni )r
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:k2.pSZ3 oc-k
JOB ADDRESS: /66J 5Et//i9 #,/t%/4/ ,�. PROJECT VALUE $5,500.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 20 7.2e/6 21-
0
r❑Air Handling Equipment Only ❑ Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
nREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 1.0
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED) 20.50
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 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
'TALL 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:Phillip Hewitt Phone Number: (904)387-0491
Mechanical Company: Bill Williams A/C&Heating, Inc. Office Phone: (904)387-0491 Fax
Co. Address: 3562 Lenox Ave City: Jacksonville State: Fl Zip: 32254
License Holder: Donald R Schwend ate Cer.ation/Registration # CAC046909
Notarized Signature of License Holder iice. j
The foregoing trum-n as acknowledged before me this �/�day f ,.�1,1 ' t Z-5n the State of Florida,
County of I. I.
Cr.
� ;d;�y Signature of Notary Pub .c ,Al ( i-
Notary Public,State of Florida
:'.I My Comm.Expires 11/15/2023 [-1 rersonally Known OR [ ] Produced Identificon
Commission No.GG 368075 Type of Identification:
Updated 10/9/18