1983 Beach ACRS18-0502 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0502
PERMIT ISSUED: 12/13/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/11/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
E: n add I n he requirements of this permit,there may be additional restrictions applicable to this property
I " from otl
OTIC I -to t t
that may be found in the public records of this county,and there may be additional permits required from other
In 0
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUEOFWORK:
1983 BEACH AVE MECHANICAL RESIDENTIAL $3900.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
NORTH ATLANTIC BCH
1697040000 LINIT3
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT&AIR 1300 Shetter AVE STE 8207 JACKSONVILLE FL 32250
U-C BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
DATTILO THOMAS A 1983 BEACH AV 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 ORAN
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 0 N
AC AND REFRIGERATION 455�0000 322-1000 2 $16,00
FURNACES AND HEAT NO 455 )CC10-322 1000 26WO $24.00
.M C A C L AS
ECHANICAL WE FEE 455�322-1000 a S55.00
R
S TATE ..ESD C. A
TATE DBPR SURCHARGE 415 ODK)0�208 07M 0
Issued Date:12/13/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0502
PERMIT ISSUED: 12/13/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/11/2019
9ATED(AWRCHARGE $2M
TOTAL:$99.00
Imed Date:12/13/2018 2 of 2
Cash Register Receipt Receipt Number
City of Atlantic Beach R7619
DESCRIPTION ACCOUNT CITY PAID
7Pe—rmitTRAK $9900
---�—UU
ACRS18-0502 Address: 1983 BEACH AVE APN: 169704 0000 S99001
MECHANICAL $95.00
MECHANICAL BASE FEE 455-�322-000 $55.00
00�0 $16.00
AC AND REFRIGERATION 455-01)(M-322-1000 $24.00
FURNACE AND HEATING 455-0000�322-1000 2(
STATE SURCHARGES $4.00
STATE DGPR SURCHARGE 455 $2.00
T5-OOM208-0722 0
STATE DCA SURCHARGE S,-0000 208-0600 0 --$2-00
TOTAL FEES PAID BY RECEIPT: R7619 $99.00
Date Paid:Thursday, December 13, 2018
Paid By:COOLER BEAR HEAT&AIR LLC
Cashier: BA
Pay Method: CHECK 1304
Printed: Friday,December 14,2018 10:17 AM 1 of 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: 9& /If-C
PROJECTVALUE$ ARI# '? /6-74�3 LCI-?—REQUIRED
_.Air Handling Equipment Only _2�Air Handling Unit & Condenser —CondenserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit A
Heat: Unit Quantity BTU's Per Unit A&oya Seer Rating /V-0
Duct Systems: Total CFM REQUIRED
REPLACEMENT 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
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value 01equires 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/Escallators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condensff BTU's
4 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 read
this applicationand knowthe sameto Iscarticand correct. All previsions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give asthority to violate the previsions ofany other state or local law regulation construction or the performance ofconstraction.
Property Owners Name C&—Asr,-Q P�, Phone Number rK-zt-f
Mechanical Company 4�,Jril 4ttcl - AeotAz office Phone
Fax-7,�- V
Co. Address: City lj� k4 Star, rZ Zip
License Holder(Print): State certification/Registration# c4�C�IJ117Z9
N�ot�arizedSigna�ture ` �—,Aolder
JA.MtED .oni
$Olm
�4116G�55 i Before me this J�k—d of 2o L
MY cowlssic 2C
0�22
Signature of Notary Public