1086 HIBISCUS ST - HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0475
s. ,
4,1
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:
MECHANICAL RESIDENTIAL 2.5 Ton 20K BTU HVAC
1086 HIBISCUS ST $7400.00
HVAC Replacement Unit
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171002 0020 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
SERVICE EXPERTS HEATING 8475 WESTERN WAY STE 100 JACKSONVILLE FL 32256
& AIR CONDITIONI
OWNER: j ADDRESS: CITY: STATE: ZIP:
FLORAN HENRY 1086 HIBISCUS ST ATLANTIC BEACH FL 32233-2652
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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: 11/20/2018 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)` 247-5845
FOB ADDRESS: / Dg b !y j 13 / s 6-4/S J Tt eic r PERMIT#
PROJECT VALUE $ ‘) V/U 6 ARI# 02 o I 9,2 7 92 7 REQUIRED
Air Handling Equipment Only -Air Handling Unit & Condenser Condenser
NEW 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 RLQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 0- S
Heat: Unit Quantity / BTU's Per Unit3 0/ t Cje, Seer Rating LS
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/Escalators
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
ns 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
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Ale Ai /7_ /i.,� FL C> I(A AA-) 9- ‘3Phone Number P$ 3 s2
Mechanical Company Service Experts Office Phone 271-2182 Fax
Co. Address: 8475 Western Way Suite 100 City Jacksonville State Fl Zip 32256
License Holder (Print): Carey Zarm State Certific ' egistration# CAC 1817129
Notarized Signature of License Holder / —
-fore me this / 7 day ofd U n 0 Qe 20 /
,.'fe CAROL A.SHOUP
;R! MY�MSSION8GO264825 ' gnature of Notary Public C. a c_S
A$'. Beaded Thin Notary Public Underinters
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