710 Triton Rd ACRS19-0006 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0006
ISSUED: 1/15/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/14/2019
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK-
710 TRITON RD MECHANICAL RESIDENTIAL replace 2-ton 24K-BTU AHU $4519.95
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1713380000 ROYAL PALMS U NIT 02A
COMPANY: ADDRESS: CITY: STATE: ZIP:
J & W HEATING AND AIR 5011 Sunbeam Road JACKSONVILLE FL 32257
OWNER: ADDRESS: CITY: STATE: ZIP:
AUSTIN COOK 710 TRITON RD 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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 3 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$99.00
Issued Date: 1/15/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0006
PERMIT
ISSUED: 1/15/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/14/2019
Issued Date: 1/15/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
City of Atlantic Beach Building Department HIGHLIGHTED IN
GRAY 15 REQUIRED.
X 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: BuildiDE-Dept@coab.us PERMIT#: AC rS 000
JOB ADDRESS: 710 TRITON RD PROJECT VALUE $4,519.95
L]NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
[:]REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9100307
[]Air Handling Equipment Only ED Condenser Only E]Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.0
Heat: Unit Quantity 1 BTU's Per Unit 24,000 Seer Rating(REQUIRED) 14.00
Duct Systems: Total CFM
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)
FIFIRE PLACES r7 MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
F�ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
FJOTHER:
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:AUSTiN COOK Phone Number:.(904)625-8525
Mechanical Company: J&W HEATING&AIR Office Phone: (904)764-0040 Fax(904)764-9621
Co.Address: 5011 SUNBEAM RD City: JACKSONVILLE — State: FL Zip: 32257
License Holder: BRENT MARLER State Certification/Registration# CAC1815399
Notarized Signature of License Holder
01)J" 20 FI in-tLe-State
The foregoing instrument was acknowledged before me this N4clay of -of Florida,
Countyof
Signature of Notary
AnnMaiie A.Komadnerii I Personally Known OR Produced Identification
MYCOWMISSION#GG�2040WOI Type of Identification:
EXPIRES.ApnI 05,20Z'2 Updoted 1019118
Cash Register Receipt Receipt Number
City of Atlantic Beach R7843
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS19-0006 Address: 710 TRITON RD APN: 171338 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $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: R7843 $99.00
Date Paid:Tuesday,January 15, 2019
Paid By:J &W HEATING AND AIR
Cashier: LE
Pay Method: CREDIT CARD 4
Printed:Tuesday,January 15,2019 11:02 AM 1 of 1