1954 W Sevilla ACRS18-0501 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRSIB-0501
PERMIT ISSUED: 12/12/2018
CITY OF AT L ANTIC BEACH EXPIRES:6/10/2019
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 additi s 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,orfecleral agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1
1954 W SEVILLA BLVD MECHANICAL RESIDENTIAL $2500.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
SEVILLA GARDENS UNIT
1694620430 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
GREGG OTIS C 1954 SEVILLA BLVD W ATLANTIC BEACH FL 32233-4578
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-
DESCRIPTION ACCOUNT QUANTITY I PAID AMOUNT
AC AND REFRIGERATION 455 DOW 322-IOW 1
,i 2 1� $24.00
FURNACES AND HEATING 455 0000 322-1000 12000
455-0000 322-10D) 0 $55GO
�ss
STATE DBPR SURCHARGE 455 0000-208 07W 0 S2.00
Issued Date: 12/12/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0501
PERMIT ISSUED: 12/12/2018
CITY OF AT LANTIC BEACH EXPIRES:6/10/2019
STATE DCASURCHARCI 455:�i aW�iw� �
TOTAL$91.001
issued Date: 12/12/2018 2 of 2
Cash Register Receipt Receipt Number
City of Atlantic Beach R7588
DESCRIPTION ACCOUNT-IQTY I PAID
PemnitTRAK 91.00
ACRS18-0501 Address: IL954 W SEVILLA BLVD APN: 169462 0430 $91.00
MECHANICAL $87.00
MECHANICA BAS FEE
L
AC ANDRE R1 AT N 4SS-0000-322-1000 1 $8.00
FURNACES ANO HEATING 4SS-0000 322-1000 12aoo $24.
STATE SURCHARGES $4.00
$2.W
STATE DBPR SURCHARGE 4S5-0000,208-0700 0
-STATE DCA SURCHARGE 455-0000-20"6W 1 0 1
TOTAL FEES PAID BY RECEIPT: R7588 $91.00
Date Paid:Wednesday, December 12, 2018
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier:CB
Pay Method;CREDIT CARD 90720
Printed:Wednesday,December 12,2018 9:09 AM 1 Of I OHIO It
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
900 Seminole RA All c Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JonADDREm 19GLI Seollo- Blvc�
PRO.rECT VALUF S�60 — ARI 0 -901-75YY3 I RROMED
—Air Handling Equipment Only _I/Air Handling Unit & Condenser _CondenserOnly
NEW AIR CONDITIONING & HEATING SYMM INSTALLATION
AirConditioning: UnitQuantily Tom Per Unit -
Rest UnitQum* RTU*s Per Unit Seer Rating
Duct syswm; TOWCFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Pa Unit
Heat: Unit Quantity j BTU's Per Unit CA)Q SM Ratin�g
Ductsystents; Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 wt� of plans)
Fin Standpipc Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
FirrHoseCabimis QLAIW4 (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Supv�oo 9>1towns Quantity (Requires-3 sets of plarts)
FIRE PLACES MISCELLANEOUS:
pref"c3tod Fireplace Qty_ Auturnobile Lifts
Gas Piping Outlets Borm BTU's
EIMMUDwRicalators
ALL OTHER GAS PIPING I lent F�xchan&tr
Quantity of Outlets Pumps
9 Vented Will Furnaces Reffigerwor Condenser BTU's
%Vaftr Heatem Solff Collection systems
ranks(*ons)
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Licenie Holder(Print): V\)�, aw cet,
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Signature of Notary Puhli-ca-i—ld