1648 Sea Oats Dr ACRS18-0472 HVAC permit .�I_\,,]Y'
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0472
PERMIT
ISSUED: 11/20/2018
CITY OF ATLANTIC BEACH EXPIRES: 5/19/2019
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:
1648 SEA OATS DR MECHANICAL RESIDENTIAL 1.3 Ton 15K BTU 4 Ton $4000.00
HVAC Condenser Unit
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720200234 SELVA MARINA UNIT 06
COMPANY: ADDRESS: CITY: STATE: ZIP.
AIR SOLUTIONS HTG & 546 Ellis RD S JACKSONVILLE FL 32254
COOLING
OWNER: ADDRESS: CITY: STATE: zip:
PERRYE JEFFREY H 1648 SEA OATS DR ATLANTIC BEACH FL 32233-5836
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.
I W ' ��l
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4SS-0000-322-1000 S.3 $40.00
FURNACES AND HEATING 455-0000-322-1000 15000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-07'00 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 11/20/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0472
PERMIT
CITY OF ATLANTIC BEACH ISSUED: 11/20/2018
EXPIRES: 5/19/2019
TOTAL: $123.00
Issued Date: 11/20/2018 2 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 S/� —0 q _72-
Phone: (904) 247-S826 Email: Building-Dept@coab.us PERMIT M 41t' Bldg Permit
JOB ADDRESS: 1648 Sea Oats Dr — PROJECT VALUE$4,000.00
21 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 7065528
El Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 1.3
Heat: U n it Qu a ntity-1- BTUs per Unit 15.000 Seer Rating (REQUIRED) 18.00
Duct Systems: Total CFM 0
RE REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
[]Air Handling Equipment Only El Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 4.0
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED) 16.00
Duct Systems: Total CFM 0
DFIRE 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)
7FIRE PLACES r7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
7ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
stem in the garage and replacing the main condensing unit only.
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:Jeff Perry Phone Number: (904)434-3437
Mechanical Company: Air Solutions Heating Cooling,Inc Office Phone: (904)221-2704 F a x(904)220-0715
Co.Address: 546 Ellis Rd S City: Jacksonville —State: FL Zip: 32254
License Holder: Brian Cothren Z<7state Certification/Registration# CAC1813356
Notarized Signature of License Holder_==�
The foregoing instrument was acknowledged before me this 6�y ol A)OV in the State of Florida,
County of -bttv,%I
Signature of Notary Publi�4�
0
SUZANNE M PLEMONS
Personally Known OR Produced Identification
MY COMMISSION#GG049337
EXPIRES February 10,202, rype of identification:
Updated 1019118
Cash Register Receipt Receipt Number
City of Atlantic Beach R7413
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $123.00
ACRS18-0472 Address: 1648 SEA OATS DR APN: 172020 0234 $123.00
MECHANICAL $119.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 15000 $24.00
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: R7413 $123.00
Date Paid: Tuesday, November 20, 2018
Paid By: AIR SOLUTIONS HTG & COOLING
Cashier: CB
Pay Method: CREDIT CARD 3030g
Printed:Tuesday, November 20,2018 9:51 AM 1 of 1 it