1809 n SHERRY HVAC & RECEIPT .� 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
PERMIT INFORMATION:
PERMIT NO: ACRS18-0145
Description: AC & FURNACE REPLACE WATER TO AIR
Estimated Value: 6900
Issue Date: 4/12/2018
Expiration Date: 10/9/2018
PROPERTY ADDRESS:
Address: 1809 N SHERRY DR
RE Number: 172020 0780
PROPERTY OWNER:
Name: EILEEN & RAYMOND DICKEY
Address: 602 BELLEVUE RD
WILMINGTON, DE 19809
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.
i
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
$00 Seminole Rd Atlamic Beach,1132233
Ph(904)247-5826 Fax (904)247-5$45
JOB ADDUSS:.._I 0 K*f !j V. N
PROJECT VAIL UE AW# 20 T5_1 REQi MED
Air Handfing Equipment Only 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 R,EQUIR. D
REPLACEMENT AIR CONDI'T`IONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit quautiy I Tons Unit Quantity BTU's Per Unit 00 Seer
DSystems: Total CFMHeat
ED
uca
FIIUq PREVENTION
Fire Sprinkler Systm Quantity (Requires 3 sets of plan)
Fire S i Quantity (Requires 3 sets of plans)
Under Fire Main Value (Requires 3 sets of p1w")
Fire Hose Cabinets Q u Y (Requires 3 sets of p
Camzne>rcial Hoods Qtiantlty {Requires 3 sets of plans
(Reciaires 3 sets of plans)
Fire Suppression Systmw Quantity
FIRE PLACES MBCELLANEOUS:
Prefabricated Fireplace Qty_______^ Automobile Lifts BTU'S
CTo:s Piping Outlets Boilers
ElevaorwEscebtors
ALL OTHER GAS PIPING Heat Exchanger
_ Pum s
#Quantity of Outlets Veuted'G�a11 FFurnaces � Ref�gezator Couden.~+er
Collection Syst
#Waterer Heaters Solar ems
Tanks(gallons)
Wells
(��T�Tii_P• r
4J ��+�.� W k is s Lp=dgd or Wmdoated fx six months.Y herby cdf5'tt I hav
Permit'-srcomes void if wark does not oommeuce within a snc Wnth p� v this work will ba complied wide whether spec
:his:-.p;:lication and kpow the same to be tate sad correc� All provisions of laws a>or 100d a w r g u Bion q �coa�btracm
,Qt The p«�nit does not give aarthority
to violate the provisions of any other static yr local law reguba>dion PpWOD
?roperty Owners Marne i t7 L r Phone Number "")!j'
- -
Aecbmaical Company 0 0 N Of�toe Phone ZW- erFax-, t
10_ Address:. lS
City C state &P
,iieense Holder(Print):
Slate CezbitflcstionlRregistrat�iau#LAW3qU
Jo!ari=ed S4wawe ofI imine Holder �`
�..y.."'. t �tiCH„RC L.TpMPKINS $� Ie TUC dais r I y 0( fl 2Q r _
Ts«:CommWio,=GG 114585
Expires JWyIi.2021 C• eofNotuyPubhe
�,�lti, aoneelYtrutayf�anj; a•,ro30438
Cash . . ReceiptReceipt Number
City of Atlantic Beach • I I
DESCRIPTION • CITY PAID
PermitTRAK $107.00
ACRS18-0145 Address: 1809 N SHERRY DR APN: 172020 0780 $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 40900 $24.00
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: R4754 $107.00
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Date Paid: Thursday, April 12, 2018
Paid By: DONOVAN HEATING & AIR
Cashier: BA
Pay Method: CREDIT CARD 3
Printed:Thursday,April 12, 2018 10:48 AM 1 of 1 11
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