1835 SEMINOLE RD ACRS19-0012 HVAC PERMIT MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0012
ISSUED: 1/18/2019
CITY OF ATLANTIC BEACH
Uii 99 EXPIRES: 7/17/2019
MUST CALL INSPECTION • • . BY 4 PM FORDAY • •
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' i + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH • i OF ORDINANCES .
ALL • i • OF APPLY, PLEASEREAD 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:
1835 SEMINOLE RD MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 3 & $7000.00
HVAC ONE TON UNITS
TYPE OF •
ZONING: : . •
• • GROUP:
1696310000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS:
COOLER BEAR HEAT& AIR 864 18TH ST N JACKSONVILLE FL 32250
LLC BEACH
• ADDRESS:
WATERS JANICE B LIFE 1835 SEMINOLE RD ATLANTIC BEACH FL 32233-5915
ESTATE
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
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 1/18/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
s ACRS19-0012
PERMIT
ISSUED: 1/18/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/17/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$115.00
Issued Date: 1/18/2019 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 R's ,
JOB ADDRESS: /J?5- sein:�a✓c PERmrr#
y�GoG -7 Gg
PROJECT VALUE $ "?D 0 0 u ARI# .2017.SOeVYI REQUIRED
Air Handling Equipment Only '/Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity At- Tons Per Unit
Heat: Unit Quantity 4& BTU's Per Unit 3 Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity .Z Tons Per Unit
Heat: Unit Quantity A BTU's Per Unit 3b-0 Z.,&aw Seer Rating�`•S/�f•�
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.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 C,, Phone Number
Mechanical Company 60/e9ta� .�e� K�/ r Office Phoney°Y-372- 11 CIX
Co. Address: ���/ /�hs�• N• City gtcAsa4-;I- �-State Zip 222 -a
License Holder(Print): '6 eel4w 40t/I State C if ion/Registration#c4c 1,04 7.39
NoIon
older
�INDLESPERGER daVMISSION#FF 9 9 Before me this ES:october 6,N°tary Public UnderMrhers Signature of Notary Public