1631 ATLANTIC BEACH DR ACRS19-0005 HVAC PERMIT MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0005
ISSUED: 1/14/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/13/2019
2��Uji 9
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1631 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL new single-family $5000.00
HVAC construction - NEED NOC
TYPE OF REALIESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 1085 COU NTRY CLU B U N IT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
MARCO HEATING AND AIR, 720 MILL CREEK ROAD JACKSONVILLE FL 32211
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
ANN T SANTAYANA 1886 BEACH AVE ATLANTIC BEACH FL 32233
REVOCABLE LIVING TRUST
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 45S-0000-322-1000 c� $40.00
FURNACES AND HEATING 45S-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $SS.00
Issued Date: 1/14/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0005
PERMIT
ISSUED: 1/14/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/13/2019
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL: $127.00
issued Date: 1/14/2019 2 of 2
I "ALL INFORMATION
Q Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
fj sg� Phone: (904) 247-5826 Email: Build ing-Dept@ coa b.us PERMIT M 0 r,,�
JOB ADDRESS: 1631 ATLANTIC BEACH DRIVE PROJECT VALUE $5,000.00
F-(�NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 116, �S r)
13 Air Handling Equipment Only [3 Condenser Orlu . , 17 Air Handlinq Unit& Condenser
� 5
Air Conditioning: Unit Quantity 12 Tons per Unit '-
Heat: Unit Quantity z BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: TotalCFM 9.05n
NIS10(yj NZ10a)
[:]REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
[I Air Handling Equipment Only EI Condenser Only E3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFIVI
FIFIRE 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)
r-]FIRE PLACES F-IMISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
FIALL 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.
Owner Name:SEA LEVEL DESIGN&CONSTRUCTION, LLC Phone Number: (904)5214&58
Mechanical Company: MARCO HEATING&AIR,INC. Office Phone: 743-3350 Fax 743-4427
Co.Address: 720 MILL CREEK ROAD City: JACKSONVILLE -- State: FL Zip: 32211
License Holder: BARRY CAMPBELL zet�IW/�ertification/Registration# CAC18151711
Notarized Signature of License Holder
The foregoin&instrurnrnt was acknowledged before md/this LI—cla of-Jir�Ltw4 20a, in the State of Florida,
County Of JILA I
- - - --- Signature of Notary Public
BONNELL W.CRAIG
myc
oMMISSMIlIGG2481197 CT
Personally Known OR Produced Identification
EXPIRES:Deceinim 11.2022 Type of Identification:
Woo Dn NoWy Pubk thWwM
I Updated 1019118