2011 Beach ACRS18-0353 a CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
n' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0353
Description: 2.5 Ton 28.6K BTU HVAC Unit
Estimated Value: 4700
Issue Date: 8/9/2018
Expiration Date: 2/5/2019
PROPERTY ADDRESS:
Address: 2011 BEACH AVE
RE Number. 169707 0000
PROPERTY OWNER:
Name: BARNWELL STANLEY L
Address: 21453 ROSEPARK CT
WEST LINN, OR 97068-2930
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NORTHPORT CONSTRUCTION GROUP dha NORTHPO
Address: 2905 SPRING PARK RD TIMUR ISPARYAN
JACKSONVILLE, FL 32207
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 RVAC 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 /��
JOBADDRFSS: 010 (I �alck AVC PERMIT OWS1 -6-1B
PROJECT VALUE SS,100 ARI# 9IG2305 REQUIRED
_Air Handling Equipment Only _Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tong Per Unit
New: 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 .2.5 50
Heat: Unit Quantity 1 BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fite 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)
Film Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Furnaces _ Refrigerator Condenser BTU's_
8 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
person berooaa void if wort docs not mmmence within a six month period orwork is sosporded or abandoned for six months.I hereby codify that I haw red
,his apptiWian ad know the same to be true and wnea. All pmvisionsorlaws and ordivnas governing this wakwill becomplid with whether spocifted or
ret The permit does not give authority to violate thefsovision oreny other suite or local law regolaion consooction or the perfomunm oftonamabn.
Property OwnersName 3CtRt1 wA 22 ih� TrIA6+ Phone Number NVOZ81 64aq
Mechanical CompeaY NOKAT04 Ae4 Ahd A iR OBice Phon 9s W"Ztif as;}3 1-&zy S
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Co.Addr=:2505 6ri% �%,L +RA city Jgx State*l zipvlaq
License Holder(Print): ft \Spgttytkll State Certification/Registration H al(C t2S00 34
Norarlted Signafore of License Holder Zq_fr
Before me this�—day of A 2''0 /8/
oy,sp„awaa.a none.
wMY„'^"°'0fum Signature of Notary Public �
Scanned with CamScanner
}I ReceiptCash Register ReceiptNumbe
City of Atlantic Beach^ 1 • I •
:i.
ACCOUNT
I CITY
/
PermitTRAK $99.00
ACRS18-0353 Address: 2011 BEACH AVE APN: 169707 0000 $99.00
MECHANICAL $95.00
ACAND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000.322-1000 28600 $24.0
MECHANICAL BASE FEE 455-0000.322-1000 0 $55.00
STATE SURCHARGES -'$4'0Q
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000208-0600 0 $2.00
TOTAL FEES / BY RECEIPT: R5998 $99.00
Date Paid:Thursday,August 09, 2018
Paid By: NORTHPORT CONSTRUCTION GROUP dba NORTHPO
Cashier:JDS
Pay Method:CREDIT CARD Paid
Printed:Thursday,August 09,20189:33 AM 1 of i