95 KIMBERLY CT - HVAC Irj�)y'jam,
' \s f CITY OF ATLANTIC BEACH
'u sy 800 SEMINOLE ROAD
\ s
\ N-.... ' ATLANTIC BEACH, FL 32233
osi1 INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0069
Description: HVAC - 1 A/C, 1 AHU, 5 TON
Estimated Value: 0
Issue Date: 2/21/2018
Expiration Date: 8/20/2018
PROPERTY ADDRESS:
Address: 95 KIMBERLY CT
RE Number: 169519 0790
PROPERTY OWNER:
Name: LIPSCOMB EDWARD L
Address: 95 KIMBERLY CT
ATLANTIC BEACH, FL 32233-5976
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.
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.
* 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
3,__ _-___6_0-- -C-.
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 1 _C-(- PEr#
PROJECT VALUE $ o=0 o . S REQUIRLD
A.ir Handling Equipment Only _ Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit fi " _—
Heat: Unit Quantity STD's Per Unit _ - Seer
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Aix Conditioning: Unit Quantity ` Tons Per Unit ' 5
Heat: Unit Quantity—I— BTU's Per Unit 1:)t:.0 Seer Rating l f
5
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 Quantityw wires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts •
Cas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets
s
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit hecotn.eS 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
:his:Iy;+lication and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specified c
lot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
?roperty Owners Name ec 1-.i e sc ti 12 Phone Number sa.V.1 T b 1
Mechanical Company Dock o 4 rN H--0,-....,-,--_r' i'( Office Phone c 1)-37 'flax P.`11-3-)vs-
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:o. Address: \•5k� B� City, a - �3[.1- State?- Zi ZS'
.icense Holder(Print): \f\.)Lf_t,B_t_,lY� a.n _ _ _State Certitcarion/Registration# _
Vofar*ed Sign, ,, , .*OM,".q rri riOlin r
1 w;Commissbn# G 9585
4ExpJuly 24Pre me this a 1 day of e-eb('„t.�t,,r) 20_ _�
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_ --. . •.. . +fury Public f I
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as
t Cash Register Receipt Receipt Number
INV
City of Atlantic Beach R4304
DESCRIPTION ACCOUNT QTY I PAID
PermitTRAK $285.00
ACRS18-0069 Address: 95 KIMBERLY CT APN: 169519 0790 $123.00
MECHANICAL $119.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
ACRS18-0070 Address: 420 SNAPPING TURTLE CT APN: 169463 1050 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
MCRS18-0003 Address: 2220 BEACHCOMBER TR APN: 169463 0048 $63.00
MECHANICAL $59.00
PUMPS 455-0000-322-1000 0 $4.00
MECHANICAL BASE FEE I455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4304 $285.00
Date Paid: Wednesday, February 21, 2018
Paid By: DONOVAN HEATING &AIR
Cashier: LE
Pay Method: CREDIT CARD 7
Printed:Wednesday, February 21,2018 2:09 PM 1 of 1
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