326 8TH ST - HVAC MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 C1,2 S l 8 -0 44 z
JOB ADDRESS: 4P L. ' -- S 4- PERMIT#
PROJECT VALUE S 4°v-)C2' AR!14 9 (0GS t ( REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only.
NE\V AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit _
heat: Unit Quantity - BTU's Per Unit —n -. Seer Rating;
Duct Systems: Total CUM REQUIRE!)
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity t Tons Per Unit ' -
Heat: Unit Quantity I BTU's Per Unit ,2 I.0%)0 Seer Rating.
Duct Systems: Total CM 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)
Tire 1lose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Require 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 Mets of plans)
FIRE PLACES PvIISCELLANEUI. S:
I Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators•EscalatorN
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 hca om 'grid if/work Joins not ewtinacnet within a six month period or work is suspcndrd or a",atxlt�tted for six months, I hereby certify that I bawl n.-41
Ibis application aad knowthe same to be Init.and* rrar-L MI pear ixions of laws acid ordirerncscs wormingwad.will be complied thi. complied with whether strecilied or
rune. Toe permit duos not giss;alone rti to riol�+tc 1hw provicioos of tiny caber ht to or local taw i ct:utArir,n ronvnicrian or the pctformarxc el voacitructioa.
Property Owners Name -__I kk r a7- �n "4 u til-05 „_• Phone Number ( 3 .- -II
I I u C
Mechanical Company DD(113Vel n ie '- -c Ar Office Phnne91h3? FaX -`/ f- 3)'
t _
Co. Address: 3 IC w-k J1- S
city -3a i Li--- State 9— Zip 2Sb
License Holder(Print): t t 1 A en ) el o rJel. r, State C'cttitieatinnfReg tration# C 6 co -1 t
4 ---C-
eor niGG1�sse5 -fore me this '
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if day of Cit 20
Dims s,hely 29,2921 1
-;/..7,-.0.' lkadle1?"'"?r''''' �aAor1-3*.!'s _nature of Notary Pithlk '4d-�1 ►—'": —---" -'
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4`'1Ail' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER'a PERMITACRS1s 0442
v� ISSUED: 10/22/2018
r;; , CITY OF ATLANTIC BEACH EXPIRES: 4/20/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE 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:
326 8TH ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2 TON $4000.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169923 0010 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
Jonathan Young 326 8TH ST ATLANTIC BEACH FL 32233-5436
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 10/22/2018 1 of 2
Ns,A.,,irr, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
`‘ ACRS1S-0442
LI., ., 0
,„vJi3 , v ISSUED: 10/22/2018
CITY OF ATLANTICPERMIT BEACH EXPIRES: 4/20/2019
TOTAL:$99.00
Issued Date: 10/22/2018 2 of 2
s �.,_‘,,L.,,,;_
.
I' Cash Register Receipt Receipt Number
City of Atlantic Beach R7133
-.Di > '
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $99.00
ACRS18-0442 Address: 326 8TH ST APN: 169923 0010 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE I 455-0000-322-1000 0 $55.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
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: R7133 $99.00
CITY OF ATLANITIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
10/2Z2018 14:22:24
CREDIT CARD
VISA SALE
Card 4 XXXXXXXXXXXX9966
SEQ#: 7
Batch#: 716
INVOICE 8
Approval Code: 067438
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE AMOUNT $99,00
CUSTOMER COPY
Date Paid: Monday, October 22, 2018
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: BA
Pay Method: CREDIT CARD 8
Printed: Monday,October 22,2018 2:23 PM 1 of 1
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