541 Beach ACRS18-0455 Cash Register Receipt Receipt Number
'19 City of Atlantic Beach R7284
DESCRIPTION ACCOUNT CITY PAI D
PermitTRAK M070*—4
ACRS18-0455 Address; 541 BEACH AVE APN: 170155 0100 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
ACAND REFRIGERATION 455-0000-322-10M 3 $24.00
455-0000-322-1000 $24.OD
FURNACESAND HEATING --�7=
WATE SURCKARGM
STATE DBPRSURCHARGE Ll!�2010-2 1-1711 0 $2.00
STATE DCA SURCHARGE 4$2.001
TOTAL FEES PAID BY RECEIPT: R7284 $107.00
Date Paid:Wednesday, Novernber07,2018
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: BA
Pay Method: CREDIT CARD 3
Printed:Wednesday,November 07,2018 11:34 AM I of 1
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0455
PERMIT ISSUED: 11/7/2018
CITY OF AT LANTIC B EACH EXPIRES: 5/6/2019
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, IPIVIC, 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 maybe additional restrictions applicable to this property
that may befound inthe public records of this county,andtheremay beadditional permitsrequired from other
ci , a]agencies.
governmental entities such as water management districts,state agen es or feder
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
541 BEACH AVE MECHANICAL RESIDENTIAL 3 Ton 39.5K STU HVAC Unit $3500.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP;
1701550100 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE ZIP:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FIL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
PETERSEN PETER E 541 BEACH AVE ATLANTIC BEACH FL 32233-5323
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--�
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455�0000 322 1000 3 $24.00
-------�55�-322 JOGG 395M $24.00
FURNACES AND HEATING
MECHANICAL BASE FEE 455 �322-1000 0 $55M
STATE DBPR SURCHARGE 455�208�700 a
STATECCASURCHARGE 455�2� 0
Issued Date:11/7/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACIRS11.8-0455
PERMIT ISSUED: 11/7/2018
CITY OF ATLANTIC BEACH EXPIRES:5/6/2019
T:07M:=$107.00
issued Date: 11/7/2018 2of 2
MECHANICAL PERMIT APPLICATION
CM OF ATLANTIC REACH
goo Sentinolo Rd Atlantic Beach. Fl. 32233
Ph(904)247-5326 Fax(904)247-5945
JOBADDREM! PF.R&ItT#—
PROJECT VALUES 7TS_20 - 0 ARr# 40 3� ccD RE12UIRFD
—Air Handling Equipment Only _LZAir Handling Unit& Condenser —Condenser Only
NEW AIR CONDITIONING & HFA:i']NG SYSTEM INSTALLATION
AirConditiovIng: UnitQuantity_ ToraftrUpil __
Heat: Unit unatity B']U'sPcrUnil Seer Rati"L�EQVJ
Duct Sysims: ToiaiTrm
REPLACEMENT AIR CONDITIONING & NFATING SYSTEM INSTALLATION
I Tons Per Uni I
AhCunditioniftg: UnitQumlity— BTU,a Per UntILA-0-0 socr Ratin
Htst� Unit Quantity
Duct System Total Crm
FIREPRFVENTION
rive Sprinkler System t.v (Requircs 3 sets Of Plans)
Fire Stand 3u=an�lty (Requires 3 stt%of Plains)
Undcrgru:rrim Main Value (Requires 3 sets Of Plans)
Fire I lose I tily (Requires 3 sets Of Plans)
C omm=i 1�11111i000% "tiq (Requ Ires 3 sell of plans)
Kre Supprasion Systems 51"ntity (Requirts.l .qcts or plans)
FIRE PLACES MISCELLANEOUS:
Pietalbricatod FireplacA Qty._ Automobile Lifts
Boilers
Cms Piping Outlets Elcvatwm—ca
ALL OTHER GAS PIPENG I led Exchanger
Quantity of outless — Pum 5
4 Vent�d Wall Furnaces — ileAgeratur Condenser
I
4 water Healers — ;Olaf collection Systerna
Tamics(gallons)
Wells
OTHER:
P�lt wo" Ut?
h"K.
k...1h9.mcm,bUWW-11V" All
ct
lwmlt"c'nm si,wilillily 10 law ch,Fwv'm"s al mn�.1.Adie p"f.
_('e
f phonc,muntler
Property 0�mcFS N=C -iff S_ ax_kYLX�
--�p( 4C 14;r _--ptTlec Phone)
Mechanical CAIMPAny _-mS1AeL_4e"
C,,Y.-jcxx� 6, ()-_ Snu.ft.. zjl>31L�_
Cc, Addn:ss' Ad,( �
�Vt k c, lo, stme,certiflotioOrRegistration 0
Licente Holder(Print):
OfLfc,oje Holder L 20_�L__
-;Iwm lcq�445 Befo methis dayof_NL014 _J��
ilvr"JUNAN21 SignaLcitc of Notary Pubi