1612 ATLANTIC BCH DR MECH PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0018
PERMIT
ISSUED: 1/28/2019
CITY OF ATLANTIC BEACH
EXPIRES: 7/27/2019
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:
new 3-ton 36K-BTU & 2-ton
1612 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL 24K-BTU AHUs & 2K CFM $5000.00
HVAC duct system
TYPE OF REALIESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 1130 COU NTRY CLU B U N IT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCGOWAN'S HEATING & 11320 Phillips Parkway Drive East Jacksonville FIL 32256
AIR CONDITIONING
OWNER: ADDRESS: CITY: STATE: ZIP:
L L—A
TOLL FL VI LIMITED 250 GIBRALTAR RD HORSHAM PA 19044
PARTNERSHIP
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4S5-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 45S-0000-322-1000 2000 $20.00
Issued Date: 1/28/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
-0018
ACRS19
PERMIT ISSUED: 1/28/2019
CITY OF ATLANTIC BEACH
EXPIRES: 7/27/2019
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$147.15
Issued Date: 1/28/2019 2 of 2
**ALL INFORMATION
Mechanical Permit Application HIGHLIGHTED'IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.:,
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904).247-5826 Email: Building-Dept@coab.us PERM IT 0- "S _0C)t
PROJECT VALUE S!51,100 .0 j:�!!,!�!;1:1:10�;;.i�
6 6.�
"E (5926 777777777
JOB ADDRESS:
Fv_�NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
El Air Handling Equipment Only 0 Condenser Only 13 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 2 Tons per Unitdc)Ta.0
Heat: Unit Quantity 2 BTUs per Unit -Z aCln Seer Rating(REQUIRED)
Duct Systems: Total CFM 2,000 aLWL)0
[--]REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
[]Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity. Tons per Unit
Heat: Unit Quantity. BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
[:]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)
F_]FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
f7ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
FJOTHER:
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 provis.ions 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.
E; _�_4�&i
Phone Number:
Owner Name:Tb U TIH ifikt
.Ai L639�0.IT:.5111
00W Office Phone:' 4
Mechanical Company: Fax
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Co.Address: a e:
ication/Registration-# 6 i&66�&
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License Holder: State Certif
7 71Tr"! 1.:,-
Notarized Signature of License Holder
The foregg* in, ru �ent wa�sacknowledged before me this ay ot_\aMZf 20ft in the State.of Florida,
ing�
County _ Signature of Notary Public L&A3
TINA HEYMEN
NOTARYPUSUG Personally Known OR Produced Identification
STATE OF FLORIDA te of Identification: -
Comm#GG2331 31 Updated 1019118
Expires iwi/2o22