707 Selva Lakes Cir ACRS18-0444 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
;01 ACRS18-0444
PERMIT
ISSUED: 10/31/2018
CITY OF ATLANTIC BEACH
EXPIRES: 4/29/2019
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:
707 SELVA LAKES CIR MECHANICAL RESIDENTIAL 120 CFM Duct System $1000.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720275870 SELVA LAKES UNIT 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
AIR SOLUTIONS HTG & 546 Ellis RD S JACKSONVILLE FL 32254
COOLING
OWNER: ADDRESS: CITY: STATE: ZIP:
LEVIN LEON YALE 707 SELVA LAKES CIR ATLANTIC BEACH FL 32233
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
AIR DUCT SYSTEM 455-0000-322-1000 120 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $79.00
Issued Date:10/31/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0444
CITY OF ATLANTIC BEACH ISSUED: 10/31/2018
EXPIRES: 4/29/2019
Issued Date: 10/31/2018 2 of 2
10/24/2018 WED 10: 15 FAX U001/001
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
. --o
JoBADDRESS: Lotkt$, aIrCC PERMYr#IP—S 1?-0�5:5C
PROJECTVALUE $ 000 — ARI# —REQUIRED
Air Handling Equipment Only ___Air Handling Unit & Condenser Condenser Only
I
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 10,C,3 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
A.LL 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: _TrT4�1n!2 V�LLO -2-LL12f2LQ Wkk4-
t
ennit 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
his 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
iot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
hoperty Owners Name Le V 1y) L?O-,I e— I Phone Number
qechanical Company glee Phone a,71-d--70*ax ?-,;t0-07/1_
-Air SDIU*",� 4ea�Q-,-IT eC0111-61�:6
%_-1
�o. Address: I'S ity ��6"k State_F( zip 3225
License Holder(Print):
- 6 fleCA 00�-h&_+U z"', State Certification/Registration# 0/g a I yl 3LZ
Votarized Signature of License Holder
SUZANNE M PLEMONs efore me this Aq d;aXy , 20
_ 0
MY COMMISSION#0GO49337
9XPIRES Febru"10,2021 ignature of Notary Publi.
Cash Register Receipt Receipt Number
City of Atlantic Beach R7211
DESCRIPTION ACCOUNT CITY PAID
PerrnitTRAK $79.00
ACRS18-0444 Address: 707 SELVA LAKES CIR APN: 172027 5870 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 4SS-0000-322-1000 $SS.00
1 0
AIR DUCT SYSTEM 455-0000-322-1000 120 $20.00
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: R7211 $79.00
1Y OF AT[ANTIC BEACH
800 SENINOLE RD
ATLANTIC B:AC,FL 32233
10�131;2018 09:03:51
CREDIT CARD
VIS�,SALE
Card XXXMXXXX7298
SEQ;;: I
Bath#: 723
INVOICE I
Approval Cok 04767G
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $79.00
CUSTOMER COPY
Date Paid: Wednesday, October 31, 2018
Paid By: AIR SOLUTIONS HTG & COOLING
Cashier: BA
Pay Method: CREDIT CARD 1
Printed:Wednesday,October 31,2018 9:06 AM 1 of 1