1417 Beach Ave HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMrr INFORMA71ON:
PERMIT NO: ACRS17-0225
Description: replace 3.5-ton 42K-BTU AHU & install 2 dehumidifiers
Estimated Value: 5000
Issue Date: 11/13/2017
Expiration Date: 5/12/2018
PROPERTY ADDRESS:
Address: 1417 BEACH AVE
RE Number: 1703020000
PROPERTY OWNER:
Name: ROSENBLOOM STEVEN
Address: 1417 BEACH AVE
ATLANTIC BEACH, FL 32233-5733
GENERAL CONTRACTOR INFORMA71ON:
Name:
Address:
Phone:
Name: DONOVAN HEATING &AIR
Address: 532 S 3rd ST
JACKSONVILLE BEACH, FL 32250
Phone:
PERMrr 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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
J()B Aj)j)RESS:. 14P 31c,3,61, NJ- PERMFF#
PROJECTVALUE $ 5"�tP4 WD AiU# REQUIRED
Air Handling Equipment Only "\N Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tom Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Ratin UIRED
Duct Systems: Total CFM —
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating XA�
Duct Systems: Total CFM
FIAR.E PREVENTION
Fire Sprinkier System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Rcquires 3 sets of plans)
Fire Hose Cabinets Quantity i0kequires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 isets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile,Lifts
Cr�,-Is Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
4 Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: QL k v*A4'.
per;jjjt 1,ccomcs void if work does"nat oommenco within a six month period or work is suspended or abandoned for six months.I 6roby certify that I have read
this upjiii(;i1tion and know the same to be true and oorrect. All provisions of laws and ordinances governing this work will be omplicd with whether specified 0:
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the podormance of construction.
Property Owners Name 'P�meNWMK Phone Number&k��t_t
Mechanical Company —Office Phonj�6�- Fax__
city Ss��_stateTL_zip Z_D2��
Co. Address: �3 t
License Holder(Print): ate Certification/Registration#60"
tate I
No ta riz ed Signature of LicenseHffolder
fore tbi,-��da
efore me
RXHW L TWM98
^fA "N com,"M OGG 119M5 ignature of Notary Public
Cash Register Receipt Receipt Number
,12 City of Atlantic Beach R3426
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $107.00
ACRS17-0225 Address: 1417 BEACH AVE APN: 170302 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 1 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3426 $107.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,Fl.32233
111,13 2017 10:12:56
CREDIT CARD
VISA SALE
Card XXXXXXXUW4445
SEQ 3
Bath 482
INVOICE 3
Approval Code: 076909
Entry Method: Maui
Mode: Online
Tax Amount: $0.00
Card Code: M
SAIE AMOUNT $1072
CUSTOMER COPY
Date Paid: Monday, November 13, 2017
Paid By: DONOVAN HEATING & AIR
Cashier: BA
Pay Method: CREDIT CARD 3
Printed: Monday, November 13,2017 10:13 AM 1 of 1
TMT