341 6th ACRS18-0467 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRSIS-0467
ISSUED: 12/41/2018
CITY OF ATLANTIC BEACH EXPIRES:6/2/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL-WilkMAYST 01INFII[AM T# THE CYRRENT �IF THE FLIRMA RUILYING
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
341 6TH ST MECHANICAL RESIDENTIAL I Ton 13.5K BTU EIVAC Unit $2989.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1698970000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
A/C DESIGNS OF ST 3370 AGRICULTURE CENTER DR STAUGUSTINE FL 32092
AUGUSTINE
OWNER: ADDRESS: CITY: STATE: ZIP:
LUCAS JAMES M 341 6TH ST ATLANTIC BEACH FL 32233-5347
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
mmy must be on City approved list. Container cannot be placed on City right-of-way.
7 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
SC IPTIO
AC AND REFRIGERATION 455�000-322-1000 1 $8.013
C A R RR` RAT
S .
FURNACES AND HEAnNG 455�322-1000 135M $24.03
N'.' AS
MECHANICAL BASE FEE 455�322-1000 0 555.00
S S T .PR, -C.E
TATE DBPR SURCHARGE 455�208-0700 0 $2.0D
ST TE.'URCH ,
STATE CM SURCHARGE 455�208-0600 0 $2.00
Issued Date:12/4/20LB I of 2
MECHANICAL RESIDENTIAL HVAC PERMITNUMBER
ACRS18-0467
PERMIT
ISSUED: 12/4/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/2/2019
F-
_:::MOTAL�$91 00
issued Date: 12/4/2018 2 of 2
--ALL INFORMATION
mechanical Permit Application HIGHLIGHTED IN
eCity of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 kesA 19 -() 6 18
Phone: (904) 247-5826 Email: Building-Dept@coa PERMITW /`fC1K&,?- O'V(0'7
JOB ADDRESS: 341 6th Street - PROJECT VALUE$�2989-(10
F-1 NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQLI$RED)�
0 Air Handling Equipment Only E3 Condenser Only (3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity_ Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM —
EIREPLACEIVIENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 8064286
[3 Air Handling Equipment Only 0 Condenser Only E3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 MIN 8131fit Tons per Unit i
Heat: Unit Quantity I BTU's Per Unit 13500 Seer Rating(REQUIRED) 192D
Duct systems: Total CFM
[:]FIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System Quantity
Fire Stancippe 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)
F_�FIRE PLACES r7 MISCELLANEOUS:
Prefabricated Fireplace(Qty)— Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevator�/_Esc_alatom
MALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets — Pumps
#Vented Wall Furnaces — Refrigerator Condenser BTUs
#Water Heaters — Solar Collection Systems
Tanks (gallons)
Wells
[7,10THER: PL�SEAUACHPERMiTTOCONT�CTORSCOTrD�WDY'S PERMIT# RESA18-0018
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for so,months, hereby
certify that I haw mad this application and know the same to be true and conned. .411 provisions of laws and ordinances governing this
work will be compiled 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 corstruction.
Owner Name*JAMES LUCAS Phone Number:
Mechanical Company:NC DESIGNS INC Office Phone- 904429-68N FaX90"296587
AUGUSTINE State: FL.. Zip: 32M
Co.Address; 3370 AGRICULTURAL CENTER DR y: STI ALIGU451!Nt
License Holder: ED TENNANT ritification/Regist,ation If CA01813172
Notarized Signature ofLicense Holder
The foregoing instrument was acknowledged eforemethis day f 20j_�,in the State of Flori
�,in the State of Flori
County of Signature of Notary Public I i;�—
BELINDA 6 BYERS
"bury public.Sig.0 FividA [viloersonally Known OR I Produced Identification
Type of Identification:
MY comm.Expire.Aug 8.2019 updated 1019118
............
Sabled twx0oh Mil NtbY Aba
Cash Register Receipt Receipt Number
go City of Atlantic Beach R7518
DESCRIPTION ACCOUNT
PermitTRAK $91.00
ACRS18-0467 Address: 341 6TH ST APN: 169897 0000 $91.00
MECHANICAL $87.0
MECHANICAL MSE 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 13500 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-000G-208-0700 0 $2.DO
STATE DCA SURCHARGE
TOTAL FEES PAID BY RECEIPT: R7518 $91.00
Date Paid:Tuesday, December 04, 2018
Paid By:A/C DESIGNS OF ST AUGUSTINE
Cashier:CB
Pay Method:CREDIT CARD 34954j
Printed:Tuesday,December 04,2018 10:39 AM 1 of I