1933 W Sevilla Blvd ACRS19-0027 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0027
ISSUED: 2/5/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/4/2019
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1933 W SEVILLA BLVD MECHANICAL RESIDENTIAL replace 4-ton 48K-BTU AHU $7000.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1694620325 SEVILLA GARDENS UNIT
02
COMPANY: ADDRESS: CITY: STATE: ZIP:
J & W HEATING AND AIR 5011 Sunbeam Road JACKSONVILLE FL 32257
OWNER: ADDRESS: CITY: STATE: ZIP:
BALDWIN WILLIAM P 1933 SEVILLA BLVD W ATLANTIC BEACH FL 32233-4578
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 4SS-0000-322-1000 4 $32.0
do
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 j $S5.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $�200
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 2/5/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ON I ACRS19-0027
PERMIT
ISSUED: 2/5/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/4/2019
TOTAL:$115.00
Issued Date:2/5/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 0 b o�j
Phone: (904) 247-5826 Email: Bui-ldipg-Dqpt6Dcoab.u�,, PERMIT#: !�
JOB ADDRESS: 1933 SEVILLA BLVD VV PROJECT VALUE $7,000.00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only [I Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
E]Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 4.0
Heat: Unit Quantity BTU's Per Unit W0,OcX-:) Seer Rating(REQUIRED) 16�00
Duct Systems: Total CFM
OFIRE 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)
7FIRE PLACES r7 MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
F�ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
F-JOTHER:
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.
Owner Name:WILLIAM BALDWIN Phone Number: (904)249-8039
Mechanical Company: J&W HEATING&AIR Office Phone: (904)764-0040 Fax(904)764-9621
Co. Address: 5011 SUNBEAM RD City: JACKSONVILLE State: FL Zip: 32257
License Holder: BRENT MARLER State Certification/Registration 4 CAC1815399
Notarized Signature of License Holder
20 in the State of Florida,
The foregoii�g instrument was acknowledged before me this day of
County of j-XA-t/Ot L— --A
Signature of Notary Pubri�--���-,
,4e- "*b AnnMarie A.Komatineni [,r15'ersonally Known OR Produced Identification
MyC0MMISSI()N#G02Wl Type of Identification:
PIRES,Apn
EX E 105.20Z2 Updated 1019118
Receipt Number
Cash Register Receipt
City of Atlantic Beach R8056
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $115.00
ACRS19-0027 Address: 1933 W SEVILLA BLVD APN: 169462 0325 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0
TOTAL FEES PAID BY RECEIPT: R8056 $115.00
Date Paid:Tuesday, February 05, 2019
Paid By:J &W HEATING AND AIR
Cashier: CB
Pay Method: CREDIT CARD 9109g
Printed:Tuesday, February 05,2019 12:37 PM 1 of 1 T
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