971 AMBERJACK LN - HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0490
1J
ISSUED: 12/4/2018
,,3„ CITY OF ATLANTIC BEACH EXPIRES: 6/2/2019
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:
971 AMBERJACK LN MECHANICAL RESIDENTIAL DUCT WORK ONLY $4200.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171173 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING & AIR
OWNER: ADDRESS: CITY: STATE: ZIP:
LUNDGREN ERIK 971 AMBERJACK LN ATLANTIC BEACH FL 32233-4226
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
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
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
TOTAL: $79.00
Issued Date: 12/4/2018 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/ Ph(904)247-5826 Fax(904)247-5845 I\C Rs/ (� -0 4 q 0
JOB ADDRESS: 9 71 4M 6.,r J�„f PERMITC#� 1
PROJECT VALUE$ 1 2cO
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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit ARI#
Heat: REQUIRED
Duct Systems: Total CFM Quantity /Uv v BTU's Per Unit Seer Rating
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
# Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not commen;.e within a six month period or work is suspended or abandoned for six months.I hereby
have reae
this application and know the same to be true and connect All provisions of laws and ordinances governing this work will be complied with whetherthatispecified
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.
Property Owners Name /�ZG r-ti,,_ Phone Number 21(7— ? ' 2
Mechanical Company Cox.r Z tS tropic
Office Phone`2?-7-/7 dFax
Co. Address: 750 f 4tV Oaa cc/.
City 4//'�Y, p )
/ / State FG Zi . Z 2 3
License Holder(Print): (ii r 4.e - r State Certification/Registration# 04 CO 52 rf 3/
Notarized Signature of License Holder
Sworn ands cribed oetore 50,1.s___3.2____ da of _ I 201 8
'PYP"•• ELIZABETH R.COLBY
7'-.. Commission#GG 127897 Signature of Notary Public,_ / P
_. -. . Expires September 15,2021
o`.:;�'.8aided Thru Troy FainInsurance 800-385-7019 0 C/1 Za ,CO1 b jAr