223 OCEAN BLVD - EXHAUST VENTS •c,__t `'r� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ISSUED: 10/19/2018 ACRS18-0441
_____j
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Y ,�,��,, CITY OF ATLANTIC BEACH EXPIRES: 4/17/2019
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:
223 OCEAN BLVD MECHANICAL RESIDENTIAL EXAUST VENTS AND DUCT $750.00
HVAC WORK
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170194 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
CUSTOM HEATING AND 1567 TAWNY MARSH COURT ST. AUGUSTINE FL 32092
AIR OF FLORIDA
OWNER: ADDRESS: CITY: STATE: I ZIP:
** CONFIDENTIAL ** ** CONFIDENTIAL ** ** CONF ** XX #tt#tt##
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 PAID AMOUNT
HEAT EXCHANGER OR COIL IN DUCTS 455-0000-322-1000 0 $10.00
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
UNLISTED MECHANICAL FEE 455-0000-322-1000 0 $0.00
Issued Date: 10/19/2018 1 of 2
S MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
;�. ACRS18-0441
:-.., PERMIT
,,,,,.__ D
4 ISSUED: 10/19/2018
0;; CITY OF ATLANTIC BEACH EXPIRES:4/17/2019
TOTAL: $69.00
Issued Date: 10/19/2018 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 aRS ig _044
JOB ADDRESS: .223 Don 2)✓d. PERMIT# g ES i - 02v3
PROJECT VALUE $ 75-6,`) 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 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 '10 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)
1 Wells
OTHER: 3 ex hG usf VIc add a) S 4 p Ay- .to QTh(0111
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 other state or local law regulation construction or the performance of construction.
Property Owners Name k.iec ` ros Im'Ln KO Phone Number 06% 3311- 3422
Mechanical Company CufiVin Ile.Qh, and ?Y 0'{ FL &L Office Phone 2%12v2 Fax 20-6/e7.1)
Co. Address: 33 t�1 J d Aars I.4. *
' ?1•114 d KS State rL. Zip 32257
License Holder(Print): 0-ack G✓hQ 4. Jun State Certification/Registration# C A-C/ I(Ar
Notarized Signature of License Holder .l%/ G 0_12 l
ti:'; TONI GINDLESPERGER e .re me this (9 day o i 8
1LI
•= 91a` EXES:Ocber 6ignature of Notary Public'` Bonded Thru NotaryPublic Undarwrters - /