162 OCEANWALK DR S - HVAC i LSI�'l,,
s sCITY OF ATLANTIC BEACH
f
li
r r) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'�!oltir)' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0361
Description: 3 Ton 33K BTU HVAC Unit
Estimated Value: 1500
Issue Date: 8/20/2018
Expiration Date: 2/16/2019
PROPERTY ADDRESS:
Address: 162 S OCEANWALK DR
RE Number: 169463 0032
PROPERTY OWNER:
Name: DOBBINS MARY E LIFE ESTATE
Address: 162 OCEANWALK DR S
ATLANTIC BEACH, FL 32233-4678
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NORTHPORT CONSTRUCTION GROUP dba 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 HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION .
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 /
JOB ADDRESS: 1 6 2- OCeon i :J 7-�K S • PERMIT S` AW f
PROJECT VALUE$ &►60 O ARI# 'WC \ ` REQUIRED
Air Handling Equipment Only ✓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 I Tons Per Unit 31L
Heat: Unit Quantity BTU's Per Unit 33 I OD Seer Rating
Duct Systems: Total CFM 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)
3 sets of plans)
Fire Hose Cabinets Quantity (Requires
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/Escalators
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.Mel if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other stale or local law regulation construction or the performance of construction.
Property Owners Nam: 0106 1'05 Mar Lt e Es-144( Phone Number 004230 r0 r S
Mechanical Company Po R 1otZ ' . 11 ANi A t R Office Phone 43)-g24 eFX 431--'82-1? 5
Co.Address:
/1-C\05 S )f ,n Rai\. lACity• 1b)( State fC Zip jZ2o�
License Holder(Print): 'I U(‘ 1SP"Y)S41 State Certification/Registration #c' 116.003 q
Notarized Signature of License Holder 47:2---
410.N
7:2r4" +N Notary Pudic star a Floods Before me this I-4 day of X1(15 1 20 It
Staley Muer J4 tii
MY 1 trao 1 Car2164325 Signature of Notary Public la _
Scanned with CamScanner
OPjir
Cash Register Receipt Receipt Number
City of Atlantic Beach R6080
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS18-0361 Address: 162 S OCEANWALK DR APN: 169463 0032 $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 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R6080 $107.00
Date Paid: Monday, August 20, 2018
Paid By: NORTHPORT CONSTRUCTION GROUP dba NORTHP0
Cashier: CB
Pay Method: CREDIT CARD 020871
Printed:Monday,August 20,2018 9:57 AM 1 of 1