1671 PARK TER W - HVAC rS MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r PERMIT ACRS18-0485
r =" ISSUED: 11/29/2018
.`,�,;,, CITY OF ATLANTIC BEACH EXPIRES: 5/28/2019
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:
1671 W PARK TER MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 5 TON $15250.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: - NUMBER: GROUP:
172020 0332 SELVA MARINA UNIT 07
COMPANY: ADDRESS: CITY: STATE: ZIP:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING & AIR
OWNER: ADDRESS: CITY: STATE: ZIP:
JOSEPH & KATHERINE 1671 PARK TER W ATLANTIC BEACH FL 32233-5609
ALBERTI
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 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 2000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 11/29/2018 1 of 2
01-A, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
rs ACRS18-0485
0-41c,
PERMIT f
s ISSUED: 11/29/2018 I
��F , CITY OF ATLANTIC BEACH EXPIRES: 5/28/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $123.00
Issued Date: 11/29/2018 2 of 2
It
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
1617 ( Ph(904)247-5826 Fax(904) 247-5845 11 Qk s (I. 0 4 0C
JOB ADDRESS: /---9---.77pc�,c - c.e 0_ 1 PERMIT# C�
PROJECT VALUE $ /3, 2 To
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ) Tons Per Unit -
Heat: Unit Quantity / BTU's Per Unit ---,-,c›, Seer Rating /9'
Duct Systems: Total CFM Zc-7(.5,--2 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit 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 re-
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 specifies
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 4f f b-er f-t Phone Number 90 Y-2/Y- 7"
Mechanical Company (Lc/'- c T r,G '/y/. — Office Phone Z'4(I7 3Y Fax
Co. Address: 7 $ ) /t'Icr(7_ / I�• City /1/41 4 e- 1cI' State FG Zip 32z 3
si
License Holder(Print): Chc'l/e T �"�u"'rs i r ° to ificationfRegistration# C4 COSZ`13
Notarized Signature ofLicense Holder IF0 . , E
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Sworn ansu,scribDelo';, mis ( � •aorf : /� 20_120Signatureof Notaryblic_ i'� °16. My Comm.Expires Mar 1,2021
_'=F F=' Bonded through National fN=Ury Assn. /