770 Amberjack Ln ACRS23-0384 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
BACHMANN
CONSTRUCTION CO LLC 49 OAKWOOD RD JACKSONVILLE
BEACH FL 32250
COMPANY:ADDRESS:CITY:STATE:ZIP:
A1A HEAT & AIR 3016 S 3RD STREET JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171131 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
770 AMBERJACK LN MECHANICAL RESIDENTIAL
HVAC
HVAC - 1 A/C, 2.5 TON AND
DUCT SYSTEM $12000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
AIR DUCT SYSTEM 455-0000-322-1000 1250 $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: 10/19/2023
PERMIT NUMBER
ACRS23-0384
ISSUED: 10/19/2023
EXPIRES: 4/16/2024
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $95.00
2 of 2Issued Date: 10/19/2023
PERMIT NUMBER
ACRS23-0384
ISSUED: 10/19/2023
EXPIRES: 4/16/2024
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Mechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email: Buildine-Dept@coab.us
JOB ADDRESS: 770 Amberjack Lane PROJECT VALUE $ tzooo
E rurw AIR coNDrrroNrNG & HEATTNG sysrEM rNsrALLATroN ARt # (REeutRED)
z Air Hondling Equipment Only z Condenser Only a Air Hondling Unit & Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat:
Duct Systems:
Seer Rating (REQUIRED)
n Air Hondling Equipment Only
Air Conditioning: Unit Quantity 1
Unit Quantity BTUs per Unit
Total CFM
Tons per Unit 2.5
Unit Quantity BTU's Per Unit
Total CFM 1250
Quantity
Quantity
Value
Quantity
Qua ntity
Qua ntity
A nir Handling tJnit & Condenser
Seer Rating (REQUJRED) lb
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
pERMIT g; RESA23-0025
BTUs
BTUs
E nrpucEMENT ArR coNDrnoNrNG & HEATTNG sysrEM rNsrALLATroN ARt # (REeutRED)210798234
I Condenser Only
Heat: BK*
Duct Systems:
Requires L set of digital plans
Requires 1 set of digital plans
Requires L set of digital plans
Requires L set of digital plans
Requires 1 set of digital plans
Requires L set of digital plans
Prefabricated Fireplace (aty)_
Gas Piping Outlets
E rrne PREVENTToN
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
fl nnr PLAcES
flnr-l orHER GAs PTPTNG
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
I vrrscELLANEoUS:
Automobile Lifts
Boilers
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Cond enser
Sola r 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. lhereby
certify that I have read th is a pplication a nd know the same to be true a nd correct. All provisions of lawsand ordinances governing this
workwill becomplied with whether specified or not. The permit does not give a uthority to violate the provisions of any oth er state or
local law regulation construction or the performance of construction.
Owner Name:
Dwld Godwed
Notary Public
State of Florlda
Comm#HH151804
Ea.Giltil&U
6o&6Y GPrCraur.rra<vrr enoneuunoer:%O* k]d |-lLl
Mechanical ComPany: A1A Heat & Air Office Phone: 904B0B2BBB Fax
Co. Addrg5s. 388 33rd Ave S
License Holder:te Certification/Registration # cAC181ee75
Notarized Signature of License Holder
The foregoing instrument was acknowl
CountY 6f ouvat
efore;rte-th€ 17th
ature of Notary Public
'{1dPersonally Known OR I I Produced ldentification
fyp" of ldentification: €tAt-
2Q_, in the State of Florida,
Updoted 10/11/23
city: 9$,r= ,Kct{ state: 3- zip: a2-? SO
ACRS23-0384