650 SELVA LAKES CIR - HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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ACRS18-0478 f
r�',: s, PERMIT
\� ISSUED: 11/21/2018
,,,, 9CITY OF ATLANTIC BEACH EXPIRES: 5/20/2019
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:
MECHANICAL RESIDENTIAL
650 SELVA LAKES CIR HVAC 3 Ton 36K BTU HVAC Unit $4500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5804 SELVA LAKES UNIT 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING & AIR
OWNER: ADDRESS: CITY: STATE: ZIP:
SWARTZ TERRY M 650 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4377
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 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 11/21/2018 1 of 2
(r.ji-=\,`',yi MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
`�` PERMIT ACRS18-0478
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Ver �� ISSUED: 11/21/2018
\ \01ty� CITY OF ATLANTIC BEACH EXPIRES: 5/20/2019
TOTAL:$107.00
Issued Date: 11/21/2018 2 of 2
-- Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
1:•: t\ City of Atlantic Beach Building Department GRAY IS REQUIRED.
7 800 Seminole Rd, Atlantic Beach, FL 32233 �[ c�
"'---- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT##:f�1`-'e,�*//�"0 ` 7 6
JOB ADDRESS: 650 Setva Lakes Cir PROJECT VALUE$4,500.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 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#I(REQUIRED) 9678696
0 Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.0
Heat: Unit Quantity I BTU's Per Unit 36,000 Seer Rating (REQUIRED) 14.00
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)
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 ElMISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit
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:TERRY SWARTZ Phone Number: (904)226-9693
Mechanical Company: CHARLIE'S TROPIC HTG AND A/C Office Phone: (904)241-1788 Fax(904)241-2172
Co. Address: 750 MAYPORT ROAD City: ATLANTIC BEACH State: FL Zip: 32233
License Holder: CHARLIE J MARKS State Certification/Registration# CAC052431
Notarized Signature of License HolderC,C14-9TOkk
The foregoing instrument was acknowledged before me this day of , 20_, in the State of Florida,
County of
Signature of Notary Public
[ ] Personally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/9/18