421 S Oceanwalk ACRS18-0328 CITY OF ATLANTIC BEACH
n 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
i MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0328
Description: 2 Ton 24K HVAC Unit
Estimated value: 5175
Issue Date: 7/25/2018
Expiration Date: 1/21/2019
PROPERTY ADDRESS:
Address: 421 S OCEANWALK DR
RE Number. 169463 0548
PROPERTY OWNER:
Name: MCCULLOUGH DONALD
Address: 421 OCEANWALK DR S
JACKSONVILLE, FL 32233-4574
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AIR SOURCE AMERICA INC
Address: 207 20th at N JASON BUEHLER
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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax(904)247-5845
JOB ADDRESS: 421 Ocean Walk Dr S Atlantic Beach FL 32233_ PERMIT Ik'Q32.8'
PROJECT VALUE $ $5175 ARI# 9154943 REQUIRED
_Air Handling Equipment Only _L_Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unit
Heat: Unit Quantity BTU's Per Unit SeerRating REQUIRED
Duct Systems: Total CFM Q
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 215
Heat: Unit Quantity 1 BTU's Per Unit 24.000 Seer Rating
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
Elevators/Ewalators
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:
permit becomes void ifwork does not commence within a six month period or work is suspended a abandoned for six months.I hereby certify that 1 have reed
this application and know,the same to he we and correct. All provision¢of laws and ordinances governing this work will be complied with whether specified or
not. The permit does act give authority to violate the provisions of any other same or local law,regulation construction or the performance ofeensauction.
Property Owners Name Donald i . rQullnugh Phone Number 9G4-85'+-6236
Mechanical Company Alr Sm tree Arnedca _Office Phone on4-733-8831 Fax a04-488-8788
Co. Address: 207 20th Street ly City I- ksonville Beach State Fl Zip 32250
License Holder(Print): n State Certification/Registration# CAI] 1816716
Notarized Signature of License
Before file this 23 day of ul 2016
Notlry YUElic StlM d Fbdar 1//
?ep . Kim sera I.ro Signature of Notary Public
My Commbvan FF 1..174
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