50 17TH ST - HVAC .0
_.AN tMECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
�`' PERMIT ACRS19-0001
1 ISSUED: 1/8/2019
..:__�/ CITY OF ATLANTIC BEACH EXPIRES: 7/7/2019
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.
IJOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
50 17TH ST MECHANICAL RESIDENTIAL replace 3-ton 34.6-K BTU $3500.00
HVAC AHU
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169587 0100 OCEAN GROVE UNIT 01
NI COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
VAN ZANT MELODY 50 17TH ST 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34600 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 1/8/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
N ' ` � ACRS19-0001
5 PERMIT
ISSUED: 1/8/2019
\ > CITY OF ATLANTIC BEACH EXPIRES: 7/7/2019
TOTAL:$107.00
Issued Date: 1/8/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247.5826 Fax(904)247.5845
JOB ADDRESS: ? 7_ _4_. j .. PERMIT# /p l I /G
00 Ot'
PROJECT VALUE S-- 3 ct t— _, /1./Lf• o?0 41(oNS--REWIRED
_Air Handling Equipment Only t/Air Ilaodliing Unit&Condenser Condenser Only
NEW AIR CONDITIONING& HEATLNG SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
i Unit Quantity- _ BTU's Per U _ _nit Seer Rating
Duct Systems: Tota)CFM _ — - — — RF_Q1 IRED
REPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Ton..Per lJnit �3 j����
Heat: Unit Quantity_ t .._ BTU's Per Unit Seer Rating /S-"' .-
Duct Systems: Total CFM REQUIRED
FERE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Firs Standpipe Quantity _ _ _ (Requires 3 scts of plans)
Underground Fire Main Value _ (Requires 3 sets of plans)
Fire Hose Cabinets Quantity — (Requires 3 sets of plans)
Commercial Hoods Quantity _� — (Requires 3 acts of plans)
Fire Suppression Systems Quantity — (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
as Piping Outlet, Boilers BTt;'s
Elevatona..scalators
ALL OTHER GAS PIPING: !teat Exchanger
Quantity of Outlets Pum
d Vented Wall Furnaces _ Refrigerator Cundcoser BTU's
tf Water Heaters — Solar Collection Systems
1 anks(gallons) _
Wells
OTHER:
Panne beams void if work docs ma comroaicc Wilkie•els month period n work is swpwnlee or abandoned for siw=ad t.I berets eatif7 that t Kim-,-...i
thin appikauon s,d know the sante m be live and oorrox All provisions of laws sad ofl$t no: gu uThna ens wait will be compiled with N6abar q+a.ireei..v
nut The Pertait dna,mcg th'c 1000114'10 slolaie the 0e0'1,10000110,allae ane w 10v.111:00•rtulaion kossmactiro ore*pert imencr of corntructxti.
Pttrpern•Owners Name i1'1 t I c A y \`a., 7_An_t- Phone Number„—r _
Mechanical Company DOrt Oniatn i+e.t.4 fir(' Office Ph4m /-371r S Fax o)y 1- 3)vj-
Cu.Address: .3 tS (.,- - 14 41 S _ — City -3-cut. 0-. state FL. zit31.4,C2_
License Holder(Print):_1.'911 ft -7 no' 'an State Certification/Registration if C C D�r{7)
N r- Si allure of License Holder`ol ti(�G_t f,. ---4-
1.. trenmoc.
~``fL rctimoss fore me this .it day of 1 -L4-44.7_ _20 1 8
.{ -.. Ce......r 1 GG fl95ts —�
44..•••-", tt"eg a 2.7/1tguature of Notary Public .ia -{ -- -
�.a,+ , .p.wa�n,.+f
1 L:Lyr
, r Jr,
,cf -1P 1, Cash Register Receipt Receipt Number
ICity of Atlantic Beach R7773
01119r-
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $107.00
ACRS19-0001 Address: 50 17TH ST APN: 169587 0100 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING i 455-0000-322-1000 34600 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7773 $107.00
Date Paid: Tuesday, January 08, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 80881
•
Printed:Tuesday,January 08, 2019 9:57 AM 1 of 1