2130 S Fairway Villas ACRS18-0432 "'°'''-• MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS38-0432
PERMIT
ISSUED: 10/12/2018
,. CITY OF ATLANTIC BEACH EXPIRES:4/10/2019
INSPECTIONMUST CALL • • , FOR
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONr OF • D• BUILDING
CODE, OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2130 S FAIRWAY VILLAS LN MECHANICAL RESIDENTIAL 2 Ton 24K BTU HVAC Unit $3000.00
HVAC ZONING: BUILDING USE SUBDIVISION:
TYPE OF REALESTATE
CONSTRUCTION: NUMBER: GROUP:
169398 1022 FAIRWAY VILLAS
COMPANY: ADDRESS:
VARNADORE HGT AND 4533 MONUMENT POINT CIR JACKSONVILLE FL 32216
AIRING
• ADDRESS:
GRAY MICHAEL 5460 WATERSIDE DR JACKSONVILLE FL 32210-1660
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
AC AND REFRIGERATION 455-0000322-LOCO 2 $16.00
FURNACES AND HEATING 4550006322-1000 24000 $24.00
MECHANICAL BASE FEE 455-0000-3221000 0 $55.0
STATE OFFER SURCHARGE 455-0000-208-0200 0 $2.00
STATE DCA SURCHARGE 455-0000-20806M 0 $200
Issued Date: 10/12/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMITNUMBFR
PERMIT AC18-0432
issueD:o: lo/lz/zols
x<„ , CITY OF ATLANTIC BEACH EXPIRES:4/10/2019
TOTAL:$99.00
Issued Date:10/12/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: 2 /20 FX11?a AP 1//1-G,4C Lti sa,,z-w PERmsr l -e 32
PROJECT VALUE$ .Z.DO(J. 00 ARI# 202.2 SC-5D3 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 Tons Per Unit 1Z
Heat: Unit Quantity S ,L'Gl BTU's Per Unit 241,> Seer Rating I <f
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:
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 berms 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 M f CNAE(. 3 G ALA Phone Number
Mechanical Company VAR yAMRE 14E,4TI.W >r Ai2 /r C Office PhoneyG 1&5Fax,
Co.Address: 441-9- 75 4 RR1D(.Es• S> city �/fr State�/- Zip 3ZZI4
License Holder(Print): 72oa•«s A l/c arta ohrc- State Certification/Registration# C1C0 5(46
orf ed Si nature o License Holder /G _ 4L—=2z,
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