1142 Hibiscus ACRS18-0408�S.-Llr
CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
r, 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: ACRSIS-0408
Description: 2 Ton 24K BTU HVAC Unit
Estimated value: 3000
Issue Date: 9/27/2018
Expiration Date: 3/26/2019
PROPERTY ADDRESS:
Address:
1142 HIBISCUS ST
RE Number.
171012 0040
PROPERTY OWNER:
Name:
MYERS ANNETTE M
Address:
1142 HIBISCUS ST
ATLANTIC BEACH, FL 32233-2657
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ENERGY STAR HVAC
Address: 70 W. 10th Street
Atlantic Beach, FL 32233
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: 11212>4 'k5 U`i PERMTr dU o 6 76
PROJECT VALUE $ 3 D o-0 ARI # � 0I CSD 47b' 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 -� /4Heat: Unit Quantity 1 BTU's Per Unit k- Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System
Quantity
Fire Standpipe
Quantity
Underground Fire Main
Value
Fire Hose Cabinets
Quantity
Commercial Hoods
Quantity
Fire Suppression Systems
Quantity
FIRE PLACES
Prefabricated Fireplace Qty
Gas Piping Outlets
ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
OTHER:
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
MISCELLANEOUS:
Automobile Lifts
Boilers BTU's
ElevatoratEscalators
Heat Exchanger
Pumps
Refrigerator Condenser BTU's
Solar Collection Systems
Tanks (gallons)
Wells
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned tot six mons. r nereoy cernry mm i nave n au
this application and know the same to be time 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 state or local law regulation construction or the performance of construction. .
Property Owners Name 9.9o,41114 Phone Number 100 - �7 -6991
MechanicalCompany �r,, S,4; Nt Office Phone SSS "071'/ Fax
Co. Address: '/D i.✓ /D42 SlICity 411, lle&Z State 6L zip 322?
License Holder (Print):
Notarized Signature of License Holder
•.tnkaEo.sulra Before Is --day
''rl urcouuessloaaconss. ✓
s g? EXPIREsSePtambefS, 0 Signature of Notary Public
BaMm mry nowrPwrtmxn+c.
# 6,4C/PI76/-2