1628 BEACH AVE - HVAC �� ' _ `�s CITY OF ATLANTIC BEACH
J'., Ai s 800 SEMINOLE ROAD
,°' "M ATLANTIC BEACH, FL 32233
;� �� INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0030
Description: 1 NC, 1 AHU, 5 TON
Estimated Value: 0
Issue Date: 9/19/2017
Expiration Date: 3/18/2018
PROPERTY ADDRESS:
Address: 1628 BEACH AVE
RE Number: 169548 0000
PROPERTY OWNER:
Name: GALEANI ANITA D TRUST
Address: 1628 BEACH AVE
ATLANTIC BEACH, FL 32233-5850
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: DONOVAN HEATING &AIR
Address: 532 S 3rd ST
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ICo28 C3Q .0._h
INVOICE #
' City of Atlantic Beach INV-209
a 800 Seminole Road Date Due: 6/17/2017
,_ .SAtlantic Beach, FL, 32233
-, J
DONOVAN HEATING &AIR
532 S 3rd ST
JACKSONVILLE BEACH, FL 32250
Invoice Date: 5/18/2017 C-•.-__ /
Record# Record Type Fee Group Fee Descripti• Quantity Amount
ACRS17-0030 MECHANICAL RESIDENTIAL MECHANICAL AC AND R it TI N 1 $8.00
HVAC
FURk .CES AAT N 1 $24.00
E ANICAL BA' E 0 $55.00
STATE SURCHARGES STATE DBPR SU' ARGE 0 $2.00
STATE DCA SU' •ARGE 0 $2.00
$91.00
Invoice Total: $91.00
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Please send your payment to this address:
Printorl•Thnrcrlav Maw 1R 7M 7 11.71 AM 1 ,.f 1 t.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 l e RS l 7-0030
JOB ADDRESS: _ I a (3(4 4, k ' PERMIT#
PROJECT VALUE S ., )_C� ARI# g17411-1 REQUIRED
Air Handling Equipment Only`...1 Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 5
Heat: Unit Quantity i BTU's Per Unit CSS`- Seer Rating I C
Duct Systems: Total CFM REQUIRED
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 BTU's
Elevators/Escalators _
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# 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.
Property Owners Name t 7 e„1-G4i..h� , _ Phone Number
B9l -11 C,6
Mechanical Companyr ,,, --- %.5�-'v - .0 Office Phoney '711 Fax
Co. Address:"3 • , *` . v cit __________Stat—a__Zip.--
License Holder(Print): \\\•''`- ti ',44... - State Certification/Registration# (, \CSS 1)(o
ii
Nowt z it Signal re of License Holder ` ll .
AMP
W.f! Yy�1 Corrin TO FF Before me thi day of _ r t:. 20 3 )
-.-�.t �!� a Commission#FF 040399
; ' J Expires July 29,2017 ----
f4:(„/,:s ^mdo=7n,no,/Fein Inc uenf•401 an1A Signature of Notary Public -