1021 ATLANTIC BLVD 953-975 MCAC18-0016 MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
SIN
DETAILS PER BUILDING PLANS ISSUED:
.09; PERMIT EXPIRES:
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 , D 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:
MECHANICAL COMMERCIAL
1021 ATLANTIC BLVD 953- HVAC DETAILS PER BUILDING DUCT SYSTEM ONLY $9400.00
975
PLANS
TYPE OF •
CONSTRUCTION:- GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS:
Mesic Construction
9046 Kentisch Cy Jacksonville FL 32257
Services, Inc.
• ADDRESS:
EQUITY ONE ATLANTIC 1600 NE MIAMI GARDENS DR NORTH MIAMI FL 33179
VILLAGE INC BEACH
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
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
Issued Date: 1 of 2
MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
DETAILS PER BUILDING PLANS MCAC18-0016
ISSUED:
PERMIT EXPIRES:
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $79.00
Issued Date: 2 of 2
Mechanical Permit Application "ALL INFORMATION
4-6 ` " HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 nnnn nn
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:►`��,CIl eIS "
JOB ADDRESS: �a") 41C - ,/ PROJECT VALUE $
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM .2c ocov,
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity I BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM • r v
❑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 BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
F-JOTHER:
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 application and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be complied with whether specified 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. tic
Owner Name: (04 �`t�( �� l l/�-1 1 Phone Number:
Mechanical Comp Lewl Office Phone: G/� CiFax
Co. Address: City: ., State:-FL zip:
License Holder: t-t�l fM�/� /� S �C State Certi 1 afi n/R g ti �#(fM.MI ew-11
Notarized Signoture of License Holder %`
The foregoing instrument was acknowledged before 1'he this2)C day of 20 1A in the State of Florida,
County of a 1 '' L.
11
Signature of Notary Public nl
REFIK CORALIC
MYCOMMISSIONXFF9T0610 Personally Known OR Produced Identification _
' EXPIRES:March 13,2020
so„aeamn,N,raryur en ype of Identification: D Z ,L' Z C—
N*
Updated 10/9/18