2069 BEACH AVE - PERMIT ACRS18-0124 CITY OF ATLANTIC BEACH
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;? 800 SEMINOLE ROAD
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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: ACRS18-0214
Description: replace 4-ton condenser
Estimated Value: 10579
Issue Date: 5/21/2018
Expiration Date: 11/17/2018
PROPERTY ADDRESS:
Address: 2069 BEACH AVE
RE Number: 169718 0000
PROPERTY OWNER:
Name: FERGUSON LEE A TRUST
Address: 2069 BEACH AVE
ATLANTIC BEACH, FL 32233-5934
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SERVICE EXPERTS HEATING &AIR CONDITION[
Address: 8475 WESTERN WAY STE 100 QA CAREY ZARM
JACKSONVILLE, FL 32256
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
rOB ADDRESS: Qo (0 � PERmrr
PROJECT VALUE -7 ARI# &3 31 '101 REQUIRED
Air.Handling Equipment Only Air Handling Unit & Condenser --C-ondenser
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Pet,Unit
Heat.. Unit Quantity BTU's Per Unit :Seer Ratin .
g
Duct Systems: Total CFM QUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit L/
Heat: Unit Quantity BTU?s Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires j 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 es 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3sets of plans),
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile L'ift' s
Gas?iping.Outle ts, 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
T,dnks(gallons)
Wells
OTHER:
Permit becomes void if Work does not commence within a six month period or work is suspen&d or abandoned for
six-months.I hereby certify that I.-have read
its application and know ihesame to be true and correct. All provisions of laws.and.ordinances governing this work will be complied,with whether specified or
ot. The-p&rmit does notgive.authority4oMolite the provisions of any other state.or local law regulation construction ortlie,performapce ofconstruction.
Property Owners Name tg&- PhorieNumber
Mechanical Company Service Experts Office Phone-271-2182 Fax,
Co. Address: 8475 Western Way Suite 100 City Jacksonville —State F-1—Zip 3.2256
License Holder(Print): Carey Z.arm State Ce 'fi *
M ,qW9 n/R egistration#CAC181712.9
Notarized Signature-of License.Holder
Before methis day of 20 S"
e of Notary Public
CAROLLIER
4 0,FF OM
"
EXPIRES:July 5,2018
I'�a&ROF M y COM MIS%01�I3bndedAjuNo1WyPubkUn,de*brS
NOTICE OF COMMMCBMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
Slate of County of �l
To whom it may concern: .
The undersigned hereby Informs you that Improvements will be made to certain real property,and in
accordance with Section 713-of the Florida Statutes,the following informatlon Is stated in this NOTICE OF'
COMMENCEMENT,
Legai description of properly being improved: �Z OGa->
'v °9T777S
Address of property being Improved:
/4 t/ 7' c 14 L _-2 3
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General description of improvements: C
d
Owner L i- }
Address 6Al A V P 1 Ai✓T/
Owner's Interest In site of the improvement - ni e11 3
Fee Simple Titleholder(If other than owner)
Name
Address
Contractor
Address
Phone No. Fax No,
Surety(If any) -
Address Amount of bond -r
Phone No. Fax No.
Name and address of any person making a loan for the construction ofthe Improvements.
Name '
Address
Phone No.
Fax Na.
4-
Nan,a
9
Nana of person within the State of Florida,other than himself,designated by owner upon whom notices or other 2,.
documents may be served:
Name
W
Address art,<
Q
Phone No. Fax No. z:13 R o
In addition to himself,owner designates the followin py o m
9 g person to receive a co of the Lienor$.NOQce as provided in ��Z
Section 713.06(2)(b),Florlda Statutes.(Fill in at Owner's option). "
�• T
Name M
Address
�mQ .
Phone No. Fay.No. •
Expiration date of Notice of Commencement(the expiration date Is oneye from the date of recording unless a
different date is specified):
THIS SPACE FO)i RECORDER'S USE ONLY OWNER
ne, DATE �8
• Befora me This ay of In the
Count aiDwalcrida,hasparso al neared
Doc#2018118584,OR BK 18392 Page 83, hl s e self and aHlnns el a sla[emenL and deUns herein In by
Number Pages:1 are True and accurate
Recorded 05/17/2018 03:43 PM
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
oa_�1.,4
RECORDING $10.00 NotaryPubacatt.arge,staiecr Cou Iyof L
My commission expires;
Personally Known or• ,
ProducedldeNificalion �-