1249 BEACH AVE - HVAC PS'"''./.' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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J � ' PERMIT ACRS19-0007
Oil! ISSUED: 1/16/2019
;., � CITY OF ATLANTIC BEACH EXPIRES: 7/15/2019
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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:
1249 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 3 TON $24000.00
HVAC EACH
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170292 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
ENVIRONMENTAL A/C 8110 CYPRESS PLAZA DR STE 106 JACKSONVILLE FL 32256
SERVICES,INC
OWNER: ADDRESS: CITY: STATE: ZIP:
BOENEKE DEMORY 7093 OX BOW RD TALLAHASSEE FL 32312
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.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 6 $48.00
FURNACES AND HEATING 455-0000-322-1000 72000 $28.00
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: 1/16/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0007
PERMIT
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.9;11,; CITY OF ATLANTIC BEACH ISSUED: 1/16/2019
EXPIRES: 7/15/2019
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TOTAL: $135.00
4
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 A aRS( c _0007
JOB ADDRESS: / q? 1i'�2(}l / ' PERMIT# ib 'tJl33
PROJECT VALUE $ o?y/ 000 ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATIONc
Air Conditioning: Unit Quantity Tons Per Unit 3 G
Heat: Unit Quantity ? BTU's Per Unit 36(.0r2 Seer Rating /1
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
Duct Systems: Total CFM REQUIRED
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.1 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 IP a_ A. e - A Phone Number
Mechanical Company 69 0 i oN�teN I' 6 I 07 Office Phone Fax
Co. Address: Y/O 6i2 ;/� Or -4/OCA City Tay-
to State Zip 3��s�
License Holder(Print): .__ _ , -„ -,i , _ State Certification/Registration# Z f $7t'e1
Notarized Signature of License • • ,r ,�/ J�//
"'"k\ TONt GINDLESPERGER /(,2 da _
: •• _ MY COMMISSION FF 924951 B fore me this
* EXPIRES:October 6,2019
''=; • BondcdThmhbsyPobbcUndermnSe nature of Notary Public, Q
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Cash Register Receipt Receipt Number
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Ai'-'- V City of Atlantic Beach R7865
''.---.0s3 0_,:e/
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $135.00
ACRS19-0007 Address: 1249 BEACH AVE APN: 170292 0000 $135.00
MECHANICAL $131.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $48.00
FURNACES AND HEATING 455-0000-322-1000 72000 $28.00
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: R7865 $135.00
Date Paid: Wednesday, January 16, 2019
Paid By: ENVIRONMENTAL A/C SERVICES,INC
Cashier: CB
Pay Method: CREDIT CARD 516165
_*
Printed:Wednesday,January 16, 2019 5:04 PM 1 of 1 !?