433 E SAILFISH DR ACRS19-0011 HVAC PERMIT MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0011
ISSUED: 1/18/2019 t
CITY OF ATLANTIC BEACH EXPIRES: 7/17/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 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:
433 E SAILFISH DR MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2.5 $4700.00
HVAC TON
TYPE OF
• • GROUP:
171377 0000 ROYAL PALMS UNIT 02A
• ADDRESS:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING & AIR
• ADDRESS:
PERSICO CYNTHIA K 400 GARDEN LN 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 • .
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 4SS-0000-322-1000 2.S $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
Issued Date: 1/18/2019 1 of 2
s
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
f PERMIT ACRS19-0011
ISSUED: 1/18/2019
CITY OF ATLANTIC BEACH EXPIRES: 7/17/2019
TOTAL: $99.00
Issued Date: 1/18/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
Soo Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845 11 P<-
JUB ADDRESS: y 3 3 St(ZL A pr'_ L' PERMIT#
PROJECT VALUES %ZOO
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLT
Air Conditioning: Unit Quantity r Tons Per Unit ZPI(
REI
Heat: Unit Quantity BTU's Per Unit j C-) Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVEN'T'ION
Fire Sprinkler System Quantity (Requires 3 sets of plans))
Fire Standpipe Quantity (Requires 3 sets of pians)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of pians)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_____ , Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not coke within a six month period or urnk is suspended or abandoned for six montbs.I hereby certify that I have re
this application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specifie
or not. The permit does not give mAhhoority to violate the provisions of any other state or local Iaw regulation construction or the perfamume of construction.
Property Owners Name (! 1/n A,lx Sr cc, Phone Number _"-2c Y-7
Mechanical Company �rY s / ��,o-� Office Phone ZY /7 9
Co. Address: 5-0 1'1�)eI0-?- ,�- City 4,# l _� State Zip z�3
License Holder(Print): Ck&f t%e_ Wotytt$ State Certificationdlegistration#CN6Q 'Z-cf 3/
Notarized Signature of License Holder_
Sworn and su"scribed etore me illi 1 day f ua rLA 20'11
AMY:n,Nsr r r to; Notary Public o S ate f Florida
• Commission M GG 078050 Signature of Notary Public
►' — — —
"y ' My Comm.Expires Mar 1,2021
Bonded through National Notary Assn.