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1258 Beach ACRS18-0498 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 p Ph(903)247-5826 Fax(904)247-5945 .los ADDRESS: E�-W tach J e PE MIT a PROJECT VALVE S 3S 00 Aum 0 y 8T 3,a, . x QuntED ---Air Handling Equipment Only ✓Air Handling Unit& Cuodenmr _Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Alt Canditiomng: Unit Quantity Tons Per Unit Hear: Unit QuantityBl•U's Per Unit Seel Rating, Duct SorAccns_ Total CFM REQUERED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Toni Per Unit 3 Heat Uolt Quantity 1 BTU's Per Unit mor-'_Y Sec - Ducl Systems: Total CFh1 FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fite Standptpc Quantity _ _ (Requires 3 Rob of plans) Undagouud Fire Main Value (Requires 3 seta of plans) Fire Bose cabinets Quantity (Itequnes 3 seta of plans) Commercial Hoods Quantity _. (Requires 3 seta of plans) Fire Supvcssinn Systems Quantity (Requires 3 sets of plain) FIRE PLACFS MISCELLANEOUS: Prefaluieated Fireplace Qty__ Automobile Lifts Gas Piping Outlets Boilers BTU's— ElevatomEscalawrs ALL OTHER GAS PIPING Heat Fxcl=gcr QuanityPum s SVented\1'�eall umsces — RefftgeratorCondertscr BTU's_ #Water Heaters f Solar collection Systems Tanks(gallons) wcus OTHER: —. 1 rMM a . --•pnd ru aia monas 1 Web)'uN1ry'rRr.l ha.•�mn Pamrthecem�s void daub dost aur wto>omae"natio asie momrS raiad ur oink u nap me this vvA vitt Fc ungual vu4 wWhx sW=e�"' d�eppGUbn and rm.'aK Lmcb Maaemiwrat Mpwrsp+xnf pvs Brd aa3xiv�ues antin ow- The>:am:it don not¢in:afiarrty b.iolaetie 7^'eax°°%nC�y olEu sine m 1x+1 I:w'.q,oLsinn amvruaim u the maw nmrvs o[vaasoatioa �� � _PiwtrcNwabcr a31J., t�l,G' (7S. property O imName�-={�ZerY!-37k� a-4f'37VS- city, S c (Wrl" hnn� Fa[ Mechanical Company V -L-�.^- _ 3l5 - Pr� s m .1a,� au-.—ware+ - Z031Ls _ 1 Cc.Address: ono Cf-CO3f1I t 1_icense Holder(Printf N ) i A n` 2 n ova n State Cenificarion+Registma - tl cane offer , Y •- A9 1cc (IIZ0GA e ' � �„m„err5ras B.fo¢metttis (%�-=day of IF CC-�_20, J. .,„ �pee.�h 25.2071 uo-]terri Ki-�y�T .,•mts.r�r+.i'..+s' SiBnanae of l3olary Public '�l�_—�. >i MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS18-0498 PERMIT ISSUED: 12/10/2018 U CITY OF ATLANTIC BEACH EXPIRES:6/8/2019 INSPECTIONMUST CALL • (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM . THE CURRENT 6TH EDITIONr OF . • BUILDING CODE, . CITY OF ATLANTIC BEACH CODEOF 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: 1258 BEACH AVE MECHANICAL RESIDENTIAL $3500.00 HVAC TYPE • BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP:• 171830 0000 M AN DALAY COMPANY: ADDRESS: DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250 CONDITIONING BEACH • ADDRESS: DUSH ROGER R 1258 BEACH AVE 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. "AND N ACCOUNT QUANTITY PAID AMOUNT TION 455-0000-322-1000 3 $2400 FURNACES AND HEATING 455-0000-3221000 350M $24.0 MECHANICAL BASE FEE 455.000 322-1000 0 $5500 STATE DERR SURCHARGE 455-0000-208-07M 0 $200 STATE O[A SURCHARGE 455-0000-208-0600 0 $2'00 Issued Date: 12/10/2018 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS18-0498 PERMIT ° ISSUED: 12/10/2018 CITY OF ATLANTIC BEACH EXPIRES:6/8/2019 TOTAL:$107.00 Issued Date: 12/10/2018 2 of 2 iau j Cash Register • 1Number r, � �'-on 3-e of DESCRIPTION PermitTRAK $107.00 ACRS18-0498 Address: 1258 BEACH AVE APN: 1718300000 $107.00 MECHANICAL $103.00 MECHANICAL BASE FEE 455-0000.322-1000 0 $55.00 AG AND REFRIGERATION 455-O 322-1000 3 $24.00 FURNACES AND HEATING 455-0000-322-1000 35000 $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0006208-0600 0 $2.00 TOTAL $107.00 Date Paid: Monday, December 10,2018 Paid By: DONOVAN HEATING &AIR CONDITIONING Cashier:CB Pay Method: CREDIT CARD 43946 Printed:Monday,December 10,20183:14 PM Soft j