2069 BEACH AVE ACRS19-0004 HVAC PERMIT MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0004
ISSUED:
CITY OF ATLANTIC BEACH
EXPIRES:
MUST CALL INSPECTION • •NE LINE (904) 2, • BY 4 PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT ! • 1 OF • ' ! 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:
2069 BEACH AVE MECHANICAL RESIDENTIAL replace 1600 CFM duct $7350.00
HVAC system
TYPE OF • BUILDING
ZONING: :D •
• • GROUP:
169718 0000 NORTH ATLANTIC BCH
UNIT 3
COMPANY: ADDRESS:
SERVICE EXPERTS HEATING 8475 WESTERN WAY STE 100 JACKSONVILLE FL 32256
& AIR CONDITIONI
• • D! • '
FERGUSON LEE ATRUST 2069 BEACH AVE ATLANTIC BEACH FL 32233-5934
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 • .
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 45S-0000-322-1000 1600 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $SS.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0004
ISSUED: s
CITY OF ATLANTIC BEACH EXPIRES:
TOTAL: $: $
Issued Date: 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
fOB ADDRESS: a U 6t G� � V to ►-C PERMIT#
PROJECT VALUE $ 73 EO ARI# /t�/,A REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating 4Z I'd
Duct Systems: Total CFM 00 REQU1RED
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 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
its 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
ot. 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 ��� %� �Z�S p J,,/ Phone Number lz�
Mechanical Company Service Experts Office Phone 271-2182 Fax
Co. Address: 8475 Western Way Suite 100 City Jacksonville State Fl Zip 32256
License Holder (Print): Carey Zarm State Certific egistration# CAC1817129
Notarized Signature of License Holder
Before me this day of 20�
_ ems ignature of Notary Public .Gc
:.: GG MM