405 SKATE RD ACRS19-0008 HVAC PERMIT MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0008
ISSUED: 1/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
405 SKATE RD MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $5150.00
HVAC TON
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
ROYAL PALMS UNIT
1715300000 02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
AVALON
OWNER: ADDRESS: CITY: STATE: ZIP:
PHILLIPS ALFRED C 405 SKATE RD ATLANTIC BEACH FL 32233-3821
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 45S-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 45S-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $S5.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2,001
issued Date: 1/16/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0008
PERMIT
ISSUED: 1/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019
TOTAL: $99 070
Issued Date: 1/16/2019 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 RUS19- 0008
JoB ADDRESS: olic PeKk F1 3) PERMIT#
PROJECT VALUE S 61��D . OD — ARI# 7,97, REQUIRED
Air Handling Equipment Only V Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating 7'� ---------
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit .2.6- ..
Heat: Unit Quantity I BTU's Per Unit 3o, n90 Seer Rating_
Duct Systems: Total CFM 1;900 REQUIRED
FIRE PREVENTION
Fire SlDrinkler System Quantity (Requires 3 sets of plans)
Fire Siandpipe 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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#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 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.
Property Owners Name eottue- C�Rtt�W - Phone Number �6 6-209 -Soo6-
Mechanical Company Ala 4 ,a�Illf office Phone )KV0 Fax
U
IrZ Z,p 17 907
Co. Address: Wi �PAI-ba city 'j�kcanlllle State
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License Holder(Print): Sj�joy-�4o,x,—\ State Certification/Registration 4 r.Sl
Notarized Signature of License Holder
Before me this day of 1a-n ik� 20 /9
Na NoWry Public State of Flonaa e
yKaren Selger
MY COMMission FF 228256 Signature of Notary Public
�J
"I ExPires 06117/2019
Cash Register Receipt Receipt Number
City of Atlantic Beach R8777
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $55.0
ACRS19-0008 Address: 405 SKATE RD APN: 171530 0000 $55.00�
IMECHANICALIAVACIFINW-N/18/2019 RBE $55 00
MECHANICAL HVAC FINAL"04/18/2019 45500003221002 5,5 0C
PEE 0
TOTAL FEES PAID BY RECEIPT: R8777 $55.00
Date Paid:Thursday,April 18,2019
Paid By:AVALON HEATING AND AIR LLC
Cashier: CT
Pay Method: CREDIT CARD 054781
Printed:Thumday,April 18,2019 12:03 PM 1 of 1