950 Orchid St ACRS19-0359 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
AARONIAN RAY 208 S MILL RIDGE TRL PONTE VEDRA
BEACH FL 32082-5113
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:
170947 0500 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
950 ORCHID ST MECHANICAL RESIDENTIAL
HVAC HVAC - 1 A/C, 1 AHU, 2 TON $3700.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 23200 $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: 3/20/2023
PERMIT NUMBER
ACRS19-0359
ISSUED: 3/20/2023
EXPIRES: 9/16/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
2 of 2Issued Date: 3/20/2023
PERMIT NUMBER
ACRS19-0359
ISSUED: 3/20/2023
EXPIRES: 9/16/2023
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
yr-- ..
Mechanical Permit Application ALL INFORMATION
t-'' HIGHLIGHTED IN
J
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J 800 Seminole Rd, Atlantic Beach, FL 32233 r -c c _0 3ED
r
Phone: (904) 247-5825 Email: Buildin;ti-Dept@coab.us PERMIT#:
t
t01-
O JOB ADDRESS: a50 O `ta 34Reck PROJECT VALUE$ 3%"4-0°.
LO'
Q NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!It(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
D t Systems:Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!I SQUIRED)
0 Air Handling Equipment Only 0 Condenser OnlyAir Handling Unit& Condenser
Air Conditioning: Unit Quantity ti Tons per Unit r1^
Heat: Unit Quantity i BTU's Per Unit 2b\10' Seer Rating(REQUIRED) 311
Duct Systems:Total CFM 1500
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
f]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:ioTh‘(AnAR.0t`0f1 \ Phone Number: 9OJi" ./OI-6f5c
Mechanical Company: OofAT07.t CrOrYS--rud)tI. CrO41) Office Phone:.43.‘"821i`*Fax X31"$215
Co.Address: 2.105 '513r;r) IIAtA- 'Zq City: 14x State:-FL- Zip: 322°4.
License Holder: TI I•sub tS PA.RYA/J State Certification/Registration# CNC 125003 ok .,..-
Notarized Signature of License Holder
The foregoinginstrument was acknowledged before me this day of OCvle-r ,20(q, in the State of Florida,11
County of I )QVC
Signature of Notary Public .-
f,dTi,,
Notary Public State of Florida ['Personally Known OR[ I Produced Identification
Shirley M Miller
1` My Camiss on GU 161725 Type of Identification:
is piEapuesmt v74 2o2t
Updated 10/9/18
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