51 SEMINOLE REACH DR MECH HVAC PERM rS' '' ` MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r _ ACRS19-0022
v� PERMIT ISSUED: 2/11/2019
V,i19, CITY OF ATLANTIC BEACH EXPIRES: 8/10/2019
MUST CALL INSPECTION • • • + 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
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:
MECHANICAL RESIDENTIAL
51 SEMINOLE REACH DR HVAC replace 4-ton 48K-BTU AHU $4798.00
TYPE OF
ZONING: :D •
• • GROUP:
168846 5715 SEMINOLE REACH
COMPANY: ADDRESS:
AIR SOURCE AMERICA INC 207 20th st N JACKSONVILLE FL 32250
BEACH
• ADDRESS:
HOPKINS THEODORE W PO BOX 330407 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 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 4SS-0000-322-1000 48000 $24.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $SS.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 2/11/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0022
PERMIT
ISSUED: 2/11/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/10/2019
TOTAL:$115.00
Issued Date:2/11/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 A 0,
.TOB ADDRESS: 51 Seminole Reach Dr Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUE$ 4798.00 ARI#_ 9893287 REQUIRED
Air Handling Fquipment Only x Air Handling Unit & Condenser Condenser Only
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 INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 4
Heat: Unit Quantity 1 BTU's Per Unit 48,000 Seer Rating 18
Duct Systems: Total CFM 0 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 tom six months.I hereby certify that I have read
this application and know the same to he 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 Ted Hopkins Phone Number 904608-4878
Mechanical Company Air Source America Office Phone 904-233-88'31 Fax 904-485-8788
Co. Address: 207 20th Street N City Jacksonville Beach State_F
L Zip 32250
License Holder (Print): Jason Buehler _ Sta Certification/Registration# Com. Q 1816716
Notarized Signature of License Holder
Before me this 0th day of J u 019
y a`�"4 KURT EIC14MMN
Notary Public State of Florida Signature of Notary Public
`. � Commissfon 0 GG 267633
?or My Comm.Expires Oct 13,I022
Bonded throthh National Notary Assn.