1221 Mayport Rd MCAC23-0030 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SHOPPES OF A1A NORTH
LLC 4237 SALISBURY RD N STE 212 JACKSONVILLE FL 32216
COMPANY:ADDRESS:CITY:STATE:ZIP:
A COMFORTABLE
ENVIRONMENT, INC 2071 EMERSON STREET #3 JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171090 0100 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1221 MAYPORT RD
MECHANICAL COMMERCIAL
HVAC DETAILS PER BUILDING
PLANS
Duct work only 1000 total
CFM $10800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1000 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 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: 10/3/2023
PERMIT NUMBER
MCAC23-0030
ISSUED: 10/3/2023
EXPIRES: 3/31/2024
MECHANICAL COMMERCIAL HVAC
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $79.00
2 of 2Issued Date: 10/3/2023
PERMIT NUMBER
MCAC23-0030
ISSUED: 10/3/2023
EXPIRES: 3/31/2024
MECHANICAL COMMERCIAL HVAC
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED INCityofAtlanticBeachBuildingDepartmentGRAYISREQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
a M
IM C PC2 -0() D3
Phone: (904)247-5826 Email: Building-Dept@coab.us PERMIT#:23 " N f 3 ---
JOB ADDRESS: 12-2- 1 ! `v A ) P o r kc PROJECT VALUE $ I OJ u W -'''
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only Condenser Only 0 Air Handling Unit& CondenserAirConditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)Duct Systems:Total CFM
DREPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& CondenserAirConditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)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 0 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: New 0 " c1LA/6 r J 1
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby IcertifythatIhavereadthisapplicationandknowthesametobetrueandcorrect. 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: S k °ppc.s b F HCl /A Phone Number: ''')I_ IS 2-1-563
Mechanical Company: A cGn"lcurT q /(2 /,-)1v;ro,./1"-e.^,-t Office Phone: 94:4-Z Z(S3$, Fax
it/(A
Co. Address: 2v7( 2',tip f="N C-7<, /;:--? City: — '1C k5",.=/'-'4%, i; e State: ((, 2ip:.3z Z u 7
License Holder: Jd n! of 4 Az n) S,f,, 1; A State Certification/Registration# cA C /81cj 7t
Notarized Signature of License Holder j
The foregoirg mstrumgnt was acknowledged before me thisj.. 1 day of5e41JA.kx.;2C1-33, in the State of Florida,
County of U
S. nature of Notary Public " CCS l J,y__-i)„
k.v.' ``. REBECCA ANN RAY
MY COMMISSION#HH o923i). rsonalty Known OR O Produced Identification
o; EXPIRES:March 6,2025
fRtn..• Bended Thru Notary Public Underwriter,