55 Forrestal ACRS18-0422 CITY OF ATLANTIC BEACH
rt 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: ACRS18-0422
Description: DUCT WORK
Estimated Value: 3000
Issue Date: 10/4/2018
Expiration Date: 4/2/2019
PROPERTY ADDRESS:
Address: 55 FORRESTAL CIR
RE Number: 171737 0000
PROPERTY OWNER:
Name: TRI PROP II LLC
Address: 2323 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LAYFIELD HEATING &AIR CONDITIONING INC
Address: 10620 VILLANOVA RD CIA RONALD LEE MORRIS
JACKSONVILLE, FL 32218
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: Srr 052Y 5 774{ PERMIT#
PROJECT VALUE $ _ s Cepo ARI# 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 /ky REQUIRED
REPLACEMENT 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
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/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: / tiq nus2ass rn /kt rr..T — 1•ls� 17�Twclt-tC OPL—t
Permit becomes void 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 the state or local law regulation construction or the performance of construction.
Property Owners Name6i C�,-V/-+JMtI R l P RnPF/tY( Done Number
Mechanical Company tr tFt rL b jj:g� Office Phone')1610RVqFax
Co. Address: S 34 0 A - l City CaAA-t- .-� State Zip 3z�o l\
License Holder(Print): State Certification/Registration# Ll4te t-I ry7�
Notarized Signature of License k6d,, 6UdJ fM kP
fes:.=MEY'PaS
EH Before me this�da o 0
24951Signature of Notary Public
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