379 4th ST ACRS18-0266 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
PERMIT INFORMATION:
PERMIT NO: ACRS18-0266
Description: replace 3-ton 34.2K-BTU AHU &ductwork
Estimated Value: 7000
Issue Date: 6/19/2018
Expiration Date: 12/16/2018
PROPERTY ADDRESS:
Address: 379 4TH ST
RE Number: 169846 0010
PROPERTY OWNER:
Name: KAUFMAN BRUCE EDWARD
Address: 379 4TH ST
ATLANTIC BEACH, FL 32233-5343
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DONOVAN HEATING &AIR
Address: 315 6th Ave S
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$7,500.
Aft
CHA ICAL ftRMIT APPLICATIONCITY
OF ATLANTIC sEACU
80"=i.'Lole Rd AtL-Mtic Beach, FL 32233
Pb (904)247-5826 Fax(904)247-5845
JOB ADDRESS: ��� �` -- 94- A C-Q-S i
PROJECT V,4 L UE
.Air klandlr �
UipMent only --t:lir DandUnb Unit& Condenser
NSW AIRC[INDITTONIrTG & �A.T�O. SYSTEMCondenser Onl;
Air Canditiong: Unit Quantity INSTALLATION
Heat ---� Tons Per TTS _
Duct Systems: �,,r.t,� �-�. BTU's Per Unit- ,-�_ Sit R
�� �EQUII�D
REPLACEMENT AIR CONDITIONING & BEATING SYSTEM INSTAL
Ait : Unit LATION
Heat ondrizo Unit �r --� Bans�Pc�Uoit
D=Systems: Total TU's Per Unit Seel Rating
R�Q�IRED -
FL��� PREVENTION
Fire Sprinkler system
Fire Standpipe Quantity ity (Requires 3 sets of pbws)
Underground Fire Main Value (Requhvs 3 seu of plans
Fire Dose CabinetsQuantity ---- (Re9�'es 3 sett of plaE
Coz�lrinexc�al Hoods (Requires 3 sets of P
Fire Suppression Systems t �� - � equitres 3 sets of plans
ntif' (Requires 3 se#s of pis)
FIRE PLACES NUSCLLLA N OUS:
Prefabricated.Fireplace Qty_ Automobile LiPs
Oras Piping Outlets
Boilers BTCT's
ALL OTMR.GAS PIPING El ars�scalators
Q��y of Outlets Heat Exchanger
#Vented Wall Fi m Ices PUMPS
-
#mater Hea#ers Refererator Condenser B'M;s
Soar Collection.Systems
T (gallons)
Wells - -
?erni it hreomes void if work does not mea w[tbin a sit month period or work is suspended or abandoned fpr sec mouths_I boroby certify tharc I have ro c
:his.:ippl ie:rltioR and know the$ame to ba true and cormect. All provisions of laws and ordmances VvemM this work will b,oomphed with whether wed
iot 'Z he permit does lbot give au1io' to violate the pro isions of My othar state or 110cel law-guladon CftS rUC don or the pa�ce of con=U0don-
?roperty Owwrs Name a 1� � l•L-�pt r`- Phone Number
vlechaaical Company 00 n o V ca r� }-� �-,<- c i r� Office Phone,)�f 1�785Fax 1 7 yS
10_Address: i S City a �3c h_ st w ,�3 ZSR
-icese molder(Priatt): 1 Yri a r� State Cert%ficatict>/LZeau# ( f} � �� to
Vofarrzed.Signpiture of Lkmse.Halder ILS,
AY P'•h11 RICHARD L.TOMPKIN5 :-�P]
me this � da Of �-�'�`� z0_d, _ Commission#GG 119565
" Fplres Juts 28,2421 t7f Notary Pubiic
'-'md " Banded T<YU tivy Fele tnsuranoa
J � Receipt ' •
J s Register
City of Beach
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $214.00
ACRS18-0265 Address: 1183 VIOLET ST APN: 171008 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 33000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
ACRS18-0266 Address: 379 4TH ST APN: 169846 0010 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34200 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL • 1 $214.00
Date Paid:Tuesday, June 19, 2018
Paid By: DONOVAN HEATING & AIR
Cashier: CB
Pay Method: CREDIT CARD 020658
Printed:Tuesday,June 19,2018 4:34 PM 1 of 1
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