1854 FORSYTH CT - ACRS18-0187 f i_Lj \11Iu�
SS' CITY OF ATLANTIC BEACH
E800 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: ACRS18-0187
Description: replace 2-ton 24K-BTU AHU
Estimated Value: 2500
Issue Date: 5/3/2018
Expiration Date: 10/30/2018
PROPERTY ADDRESS:
Address: 1854 FORSYTH CT
RE Number: 172097 9805
PROPERTY OWNER:
Name: LUCE ANGELA M
Address: 1854 FORSYTH CT
ATLANTIC BEACH, FL 32233-4338
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JENKINS HEATING AND AIR
Address: P O BOX 56813
Jacksonville, FL 32241
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
Ph(904)247-5826 Fax(904) 247-5845 A-GQ-SVT
OB ADDRESS: �� ��� PERMIT#
PROJECT VALUE $ ZS��`c� AFRI# L5 !-J REQUIRED
Air Handling Equipment Only Air Handling'Unit & Condenser Condenser Only
1EW 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
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 2.0
Heat: Unit Quantity—� BTU's Per Unit 24ODo Seer Rating N�
Duct Systems: Total CFM REQUIRED
IRE 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)
IRE 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
)THER:
ermit 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
its 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
:)t. The permit does not give authority
,,tto�violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name A 1(lIr/461 V►D i n yy�� Phone Numberr qb� ?u' Z5 ' Uv�2
Mechanical Company��RAY-Ins �Ol�1nG( � fi111� Office Phone 2-A"I"IgFax 2 ' jq K
;o. Address: C City lAcksmVIII& State T V Zip 3 �4
,icense Holder (Print): W 1 [0,04 o✓r e State Certification/Registration#CAf/1 1%15;M
1 a �Signatui% kicense older
Nofqi e+ OOfFlorida
Fubid
State of Before me this ` °L day of M tt, 20
My CommWon EV'res 1112412018 Signature of Notary Public
Comm(sslon No.FF 179105