1892 SEA OATS DR - HVAC -1yLyf
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.41 t, SS- CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
J r V 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: ACRS18-0358
Description: HVAC - 1 A/C, 1 AHU, 3.5 TON
Estimated Value: 0
Issue Date: 8/14/2018
Expiration Date: 2/10/2019
PROPERTY ADDRESS:
Address: 1892 SEA OATS DR
RE Number: 172020 0582
PROPERTY OWNER:
Name: NORMAN E CHARLES JR
Address: 612 RTE 194N
ABBOTTSTOWN, PA 17301-8805
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DONOVAN HEATING &AIR CONDITIONING
Address: 315 6TH AVENUE SOUTH WILLIAM J. DONOVAN
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
ADD
2 `� 0
Ph(904)r^11-ACt
247-5826 Fax(904)247-5845 RS 18 -03 5
)
JOB ADDRESS: 7 ( '_ _1 -', o-C L)( Puma#
PROJECT VALUE$ 4. 0 c v _ AR-1# r (p I V `-- REQS
Air Handling Equipment Only /Air Handling Unit& Condenser Condenser On.
NSW AIR.CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Sem Rating___
Duct Systems: Total CFM REQUERED
REPLACEMENT AIR CONDITIONING & WANTING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity lTons Per Unit '5`5 (f
Heat: Unit Quantity .____ BTU's Per Unit SL z- v Seer
Duct Systems: Total CFM - REQUIRED
FLU PREVENTION
Fire Sprinkler System. Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity _ (Requires 3 sets of plum)
Underground Fire Main Value (Requires 3 sets of plans
Fire Hose Cabinets Quantity - (Requires 3 sets of plans
Commerccial.Hoods Quantity _ _ (Requires 3 sets of plans
Fire Suppression Systems Quantity - (Requires 3 sets of plaits)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's-
Elevators/ scalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Furnaces - Refrigerator Condenser BTU's
4 Water Heaters '� Solar Collection Systems _
Tanks(gallons) r --
Wells _.,, . --
OTHER.:
?ern it Mc COEnes void if wcek does not commc®as wibi t a six month period or work Is wed or abandoned for six months-I hereby aertify that I ha
his:,ppti mann and kstow thc slot°be true and correct All provisions of laws arid ordinances governing this work will be complied with wh�h spe
lot The permit doe not give authority to violate ibe prz,viticrns or auy other state or local Iaw regulation ton IN:too or thc of cu n
?roperty Owners Name C�'1( r t e____. (_--i-y\lti i'l _ Phone Numb4Z�lil �3
Mechanical Company k.�O no V n -t-- �c - r Office Phone r 7 ��F 3
2o. Address: . 1 S 6-0:3_ i4 c City x Bch S e Zip 32-
�icense holder(Pi hit): W 1 I\1\A m t'"1 o J A r-- State Ce tificatio�on it CL)
License frrr%ted Signature of LK�GJl.�Holder (~�
" RICHARD L.TOMPKIN5 Before ine this i 7 - Gj.$, of 20 L a
_'`�.: � Commission k GG 1'95x5 .L
s txPwe,��y 29#7.127,5
9,202 Sig ure of Notary Public �` '
Ay q;,! `s., bonded Thru Troy Fein Int-a'°80,:4'.
J
3r
s„ Cash Register Receipt Receipt Number
City of Atlantic Beach R6046
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $267.53
ACRS18-0358 Address: 1892 SEA OATS DR APN: 172020 0582 $267.53
MECHANICAL $151.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
STATE SURCHARGES $6.53
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.92
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.61
WORK WITHOUT PERMIT $110.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL FEES PAID BY RECEIPT: R6046 $267.53
Date Paid: Tuesday, August 14, 2018
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 006706
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