128 Ocean Blvd ACRS18-0277 �t
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: ACRS18-0277
Description: 3.5 Ton 42K BTU Unit
Estimated Value: 4600
Issue Date: 7/9/2018
Expiration Date: 1/5/2019
PROPERTY ADDRESS:
Address: 128 OCEAN BLVD
RE Number. 170201 0200
PROPERTY OWNER:
Name: WADKINS GARRETT D
Address: 201 IST ST
ATLANTIC BEACH, FL 32233-5243
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AIR SOURCE AMERICA INC
Address: 207 20th at N JASON BUEHLER
Phone: JACKSONVILLE BEACH, FL 32250
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 128 Ocean Boulevard Atlantic Beach FL 32233 PERm rr# 07.77
PROJECT VALUE$_ 4,600 ARI# 9665298 REQUIRED
Air Handling Equipment Only _L_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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3.5
Heat: Unit Quantity 1 BTU's Per Unit 42.000 Seer Rating 14
Duct Systems: Total CFM 0 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 Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
ElevatorsBscalators
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
OTHER:
Perrin becomes void dwork does not commence within a six month period orwork is suspended or abandoned fm six momhs.I hereby cmtifi that 1 have read
this application and kaon the same to be tips and conal. An prm'isions of laws mid ordinances governing this wink will be complied with whether specified or
not. tfic permit docs not Sin authority to loin,the pmiisions or an) other slow or]met lav regulation conswclion or the performance orconslruclion.
Property Owners Name Mary Wadkins Phone Number 904 333"3392
Mechanical Company Air Sanrca America Office Phone 904-133-8831 Fax 904-485-8788
Co.Address: 207 20th Street N City Jacksonville Beach State Fl Zip 32250
License Holder(Print):�Iag State Certification/Registration# CAC 1816716
Notarized Signature ojLieense Holder
aw�ypuawsmwam�wa Beforeme 's 28th dayof June 2018n
Kan Sandberg
/
uvoaiar:wonro+e.era Signature of Notary Public
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