1021 ATLANTIC BLVD 1-3 HVAC MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
'1 ! .
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DETAILS PER BUILDING PLANS ACRS18-0457
'1 ISSUED: 11/13/2018
PERMIT EXPIRES: 5/12/2019
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:
1021 ATLANTIC BLVD 953- MECHANICAL COMMERCIAL UNIT 1 HVAC - 1 A/C, ONE
975 HVAC DETAILS PER BUILDING TON $4500.00
PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
HWV
MECHANICAL/ELECTRICAL 12797 Wilderness LN JACKSONVILLE FL 32258
CONTRACTORS
OWNER: ADDRESS: CITY: STATE: ZIP:
EQUITY ONE ATLANTIC NORTH MIAMI
VILLAGE INC 1600 NE MIAMI GARDENS DR BEACH FL 33179
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
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 11000 $24.00
Issued Date: 11/13/2018 1 of 2
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sji, rt MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
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DETAILS PER BUILDING PLANS ACRS18-0457
faryo ISSUED: 11/13/2018
it 0' PERMIT EXPIRES: 5/12/2019
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PUMPS 455-0000-322-1000 0 $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $95.00
Issued Date: 11/13/2018 2 of 2
Mechanical Permit Application **ALL INFORMATIONHIGHLIGHTED IN
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l'> City of Atlantic Beach Building Department GRAY IS REQUIRED.
;' 800 Seminole Rd, Atlantic Beach, FL 32233
Ac`zsig -v4s 1
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: comml8-0017
JOB ADDRESS: 1021 Atlantic Blvd, Atlantic Beach, Fl 32233 PROJECT VALUE $ 4,500
X NEW AIR CONDITIONING & I-EATING SYSTEM INSTALLATION ARI#(REQUIRED)
E Air Handling Equipment Only ❑ Condenser Only ® Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 1
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
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) C
Fire Hose Cabinets Quantity (Requires 3 sets of plans) \G `(,
Commercial Hoods Quantity (Requires 3 sets of plans) \/ T
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
i TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps 11,000
#Vented Wall Furnaces Refrigerator Condenser BTUs
At 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 construction.
Owner Name: EQ V 11(Y Oi.3G \ —IL LSI LL_4( r- Phone Number:
Mechanical Company: HWV Electrical and Mechanical Contractors,LLC Office Phone: 9046474993 Fax
Co. Address: 9218 Cypress Green Dr City: Jacksonville State: Fl Zip: 32256
License Holder: John-Michael Williams State Certification/Registration# RM114017010
Notarized Signature of License Holder . 7W' w/ ,°'
The foregoing instrument was acknowl dged before me this 8 day of Nov ber , 2018 , in the State of Florida,
County of
Signature of Notary Public
14. Notary PuWlc Stall of Floods J
Agata F Di Cesare
r�, c«.,rt,t.son GG 241584 .►1 Personally Known OR [ j Produced Identification
j«M1d Exwres D9,04/2022
.ype of Identification:
Updated 10/9/18
trS�Af ri
,� ,, Cash Register Receipt
3Receipt Number
V City of Atlantic Beach R7336
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DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $95.00
ACRS18-0457 Address: 1021 ATLANTIC BLVD 953-975 APN: 177602 0040 $95.00
MECHANICAL $91.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 11000 $24.00
PUMPS 455-0000-322-1000 0 $4.00
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: R7336 $95.00
'IP! OF ATLANTIL BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
11 13 2018 13:52:57
CREDIT CARD
VISA,SALE
Card; XXXXXXXXXXXX0226
SEQ 6
Batch;: 731
INVOICE 6
Approval Code: 447751
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $95,0
CUSTOMER COPY
Date Paid:Tuesday, November 13, 2018
Paid By: HWV MECHANICAL/ELECTRICAL CONTRACTORS
Cashier: BA
Pay Method: CREDIT CARD 6
Printed:Tuesday, November 13,2018 1:53 PM 1 of 1 ID
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