1849 SEMINOLE RD MECH HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r r� ACRS19-0043
PERMIT
ISSUED: 2/13/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/12/2019
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 APPLY, .
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.
L JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
MECHANICAL RESIDENTIAL
1849 SEMINOLE RD HVAC replace 3-ton 36K-BTU AHU $3000.00
TYPE OF
ZONING: SUBDIVISION:
• • • '
169629 0000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS:
DON'S AIR CONDITIONING 2403 KELLOW CIR JACKSONVILLE FL 32216
INC
• D D•
MORIN EDWARD H LIFE 1849 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 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:2/13/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
:13
ACRS19-0043
PERMIT
ISSUED: 2/13/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/12/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$107.00
Issued Date:2/13/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
`~ ^ �'•
City of Atlantic Beach Building Department HIGHLIGHTED IN
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build in -Det coab.us PERMIT#:
106 ADDRESS: PROJECT VALUE $4, 506
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Cl Air Handling Equipment Only p Condenser Only ❑Air Handling Unit& Condenser
Air Con .rdning: 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) � Z.S�
❑Air Handling Equipment Only ❑ Condenser Only ,Air Handling Unit& Condenser
Air Conditioning: Unit Quantity t Tons per Unit
Heat: Unit Quantity ( BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM w;
❑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 BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
�} Wells
OTHER:1' •' rur ��4'li � i;u�^�C-2e�/y't�k Pell t z�r'��,w ��o��'�'� �ti ��&0 4c.?w a
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 r ula ' n co�ctionorZformance of c nstruction.
/Owner Nam : 4f
Phone Number:
J 4,
Mechanical Company: �a�, Fa 1 32Y c77 4�.
p y ��VS A/r, Office Phone:"�Ot(-3�f`1-,�3�F7
Co.Address: -2L30 Kef-L `w e-t a c,-L4 City: -TA-cttce 4)U«-Ld State:-E-L Zip: ? (�
License Holder: t T?D u A w> .4- c«f State Certification/Registration#
t Notarized NN License Holder
The fo A f4was acknowledged before me this 20_12 in the State of Florida,
Coun
MY Comm.Expires m Signature of Notary Public
Nov.23,2019 -
Comm. GG 187958
( ] Personally Known OR ( ] Produced Identification
sj pU81- OQ,�+` Type of Identification:
"��qrF 0F FVq�`�� Updated 10/9/18