64 W 5th St UNIT 66 ACRS23-0398 E____-o-u-r;----,,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
`'� ACRS23-0398
PERMIT
" ISSUED: 11/8/2023
s.
� CITY OF ATLANTIC BEACH EXPIRES: 5/6/2024
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:
64 W STH ST MECHANICAL RESIDENTIAL UNIT 66 - HVAC - 1 A/C, 1
HVAC AHU, 2 TON $3800.00
TYPE OF REAL ESTATEBUILDING USE
ZONING: I SUBDIVISION:
CONSTRUCTION: NUMBER: I GROUP:
170822 9500 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
DON'S AIR CONDITIONING 2403 KELLOW CIR JACKSONVILLE FL 32216
INC
OWNER: ADDRESS: CITY: STATE: ZIP:
2975 DELLWO C 11832 16IST AVE NE REDMOND, WA 98052
HOLDINGS LLC
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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 2400 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 11/8/2023 1 of 2
?S1�'' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
eist'r) PERMIT ACRS23-0398
73 .. priz
ISSUED: 11/8/2023
�,'� CITY OF ATLANTIC BEACH EXPIRES: 5/6/2024
STATE DCA SURCHARGE I 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 11/8/2023 2 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
_ City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: A('( 523 (-) )C
op
JOB ADDRESS: Al 5r vl r C �(( y
PROJECT VALUE $ v 0(>
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit & Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
7 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) g.Oci VI Q g9
❑ Air Handling Equipment Only ❑ Condenser Only , ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit
Heat: Unit Quantity ( BTU's Per Unit ulk Seer Rating (REQUIRED) 113--
Duct Systems: Total CFM /�
FIRE PREVENTION ��l f� T Pumf d o
Fire Sprinkler System Quantity (Requires 1 set of digital plans)
Fire Standpipe Quantity (Requires 1 set of digital plans)
Underground Fire Main Value (Requires 1 set of digital plans)
Fire Hose Cabinets Quantity (Requires 1 set of digital plans)
Commercial Hoods Quantity (Requires 1 set of digital plans)
Fire Suppression Systems Quantity (Requires 1 set of digital plans)
FIRE PLACES 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
nOTHER:
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: ,4(1[-)--40=e,—,-6-4.1..
v T 7 Phone Number: pU - LN-3- )(31:7
Mechanical Company: i)eikS 1 VL (-/edA1,'144 ,Put- Office Phone: '3(it 3`}7 Fax
Co.Address: )•*30 )� 611-1-(.1)%9 C I K, - City: 7 StateE'< Zip:3 Z2%6,
License Holder: DDN14LI0 A. CGG 6 � State Certification/Registration# CAC()A-45-44-34+
Notarized Signature of License Holder 2Q C.�. d ez -L
The foregoing instrument was acknowledged before me this day of /40-1/ , 20-0 in the State of Florida,
County of
Signa re of Notary Public
CYNTHIA H.JACKSON
Commission#GG 942114 [ Personally Known OR [ ] Produced Identification
�'• �.o;` Expires April 23,2024 Type of Identification:
Bonded Thru Troy Fain Insurance 800.3857019
Updated 10/11/23