1887 BEACHSIDE CT ACRS24-0106 sr''\ MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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OE �� PERMIT ACRS24-0106
ISSUED: 3/22/2024
,j�,� CITY OF ATLANTIC BEACH EXPIRES: 9/18/2024
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:
MECHANICAL RESIDENTIAL
1887 BEACHSIDE CT HVAC HVAC - 1 A/C, 1 AHU, 2 TON $5995.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169542 0568 BEACHSIDE
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT & AIR JACKSONVILLE
864 18TH ST N FL 32250
LLC BEACH
OWNER: ADDRESS: ' CITY: STATE: ZIP:
BENNETT DAVID C 1887 BEACHSIDE CT ATLANTIC BEACH FL 32233-5954
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 24000 $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: 3/22/2024 1 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 Dp�+-�/�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:ACR�4- 01
JOB ADDRESS: /d g 7 tile
rCO" PROJECT VALUE $ 5Y9$'
I 1 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
IIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) .Z/o,'/efyy
D Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity / Tons per Unit A
Heat: Unit Quantity , BTU's Per Unit 2 too° Seer Rating (REQUIRED) /,5
Duct Systems: Total CFM Ser--2
❑ FIRE PREVENTION
Fire Sprinkler System Quantity
Fire Standpipe Quantity
Underground Fire Main Value
Fire Hose Cabinets Quantity
Commercial Hoods Quantity
Fire Suppression Systems Quantity
I I FIRE PLACES I I 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
El 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: Adlow, C i 4yik/ / Phone Number: fa /• 5 2 5' a1Sd I
Mechanical Company: £ C e-7 � -f �-4 i fl- Office Phone: 4 O t?57Z gf f9ax
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Co.Address: 'f ( x(,/7Y54 City: (Q�a� State: -Zip: SZ-- S-455
License Holder: X644,4,"v" - State -rtification/Registration# C4 /4/O 719
Notarized Signature of License Holder ._ Ab
The foreg•ing' strument wa acknowledged before me this 2 Zd. o M/4►_ 4 the State of Florida,
County of _ p.�
Signature of Notary Public 0Ler'
,e4,.,,,':,,,,
' TONIGINDLESPERGER
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MY COMMISSION 407122rsonally Known OR [ ] Produced Identification
','":;;''"16.Q'; EXPIRES:October 6,2027
,FOFF��, Type of Identification:
I Inrinforl