349 3RD ST - HVAC %S` '\'`,, , MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
i ACRS18-0489
,� tiPERMITISSUED: 12/4/2018
,�.;,, . CITY OF ATLANTIC BEACH EXPIRES: 6/2/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL 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:
349 3RD ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 4 TON $4800.00
HVAC
TYPE OF REAL ESTATE 1 ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169823 0000 ATLANTIC BEACH
COMPANY: I ADDRESS: CITY: STATE: ZIP:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING & AIR
OWNER: ADDRESS: CITY: STATE: ZIP:
HOFFMAN DAVID A 349 3RD ST ATLANTIC BEACH FL 32233
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 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 4800 $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 $2.00
Issued Date: 12/4/2018 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845 Ae RS( & ` 048
JOB ADDRESS: 3 3 PERMIT#
PROJECT VALUE$ `g
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
ARI# 75/2_/,1,1
Air Conditioning: Unit Quantity / Tons Per Unit REQUIRED
Heat: Unit Quantity I BTU's Per Unit 91%20 Seer Rating
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 rea
this application and know the same to be true and coned All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority
nntoviolate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name #o Phone Number 'UY' 2 - 2V64
Mechanical Company(ht r i e fir,t Office Phone TO 2v/1 7>Yx
Co. Address: 7c t _ City 4d/it 6,4 State F6 Zip >-2.-z 3)
License Holder(Print): �CX li r-f'. t: - S _ ik State Certification/Registration#0/605-240
Notarized Signature of License Holder_ 1FO
Sworn and su, crk d oetore me this 3D day A11V' 20/&
/.p._; ELIZABETH R.COLBY /
;_Commission#GG 127897 Signature of Notary Public --Z.
Expires September 15,2021 !
Bonded Thu Troy Fain Insurance 800-385.7019