1604 Coquina ACRS18-0449 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0449
ISSUED: 4/31/2018
CITY OF ATLANTIC BEACH EXPIRES:4/29/2019
INSPECTIONMUST CALL . t • FOR DAY INSPECTION.
•AK hi WST C#NFJI,Rt TH E CW RRE NT iTH E31IT4 t • • • .
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
INOTICE:In addition to the requirements of this permit,there maybe additional restrictions applicable to this property
that maybe found in the public records of this county,and there may be additional permits required from other
I,
entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: . • . • '
1604 COQUINA PL MECHANICAL RESIDENTIAL 200 CFM Duct Work $750.00
HVAC
TYPE OF BUILDING SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695610000 OCEAN GROVE UNIT01
COMPANY: rr •
TANNER&TANNER HEAT 3948 3RD ST S#4 S#4 JACKSONVILLE FL 32250
AND AIR BEACH
• ADDRESS: CITY� STATE: ZIP:
HINDER PAUL R 1604 COQUINA PL ATLANTIC BEACH FL 32233-5814
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. Containercannot be placed on City rightof-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-000-322-1000 200 $20.00
MECHANICAL BASE FEE 455-0000-322-100 0 $55.00
sTATEOBPRSURCHARGE <55-0000108-0]00 0 51.0
STATED SURCHARGE 455-000-208-0600 0 $2.00
TOTAL:$79.00
Issued Date:10/31/2018 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 �e
Ph(904) 247-5826 Fax(904)247-5845 Y"
JOB ADDRESS: 60(1 i,VVt 2)0.(Z PERMIT
PROJECT VALUE$_ `j50 (1h ARI# REQUIRED
_Air Handling Equipment Only _Air Handling Unit & Condenser _ Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Pet 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 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/Escalatom
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 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 constrnction.
Property Owners Name "lla Phone Number A9ti_t.j1�i'�
Mechanical Company _OfficePhone Fax
Co.Address: �y�D Y City,jK%641% State'�A, Zip, --k A
License Holder(Print): `T State Certification/Registration# / 01� 14a"
M
Si nnhtre of License Ho.IawED.suml f 20 Before me[his da�ruy couklkSSron#c,2ssat t"PNt &S"ft1ber4fiz2 r Signature of Notary Public