1729 OCEAN GROVE DR - HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
. „�. ACRS19-0045
r , a PERMIT
�1/ ISSUED: 2/14/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/13/2019
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:
MECHANICAL RESIDENTIAL
1729 OCEAN GROVE DR HVAC replace 3.5-ton AHU $3200.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169610 0000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: , STATE: ZIP:
AIR TECH OF 9540 SAN JOSE DLVD JACKSONVILLE FL 32257
JACKSONVILLE
OWNER: ADDRESS: CITY: STATE: ZIP:
LALIBERTE JOHN A 14370 MANCHESTER DR NAPLES FL 34114-8626
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 2/14/2019 1 of 2
rS' k'\rr%,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,'-yi.._~ 1,,
- v� ACRS19-0045
PERMIT ISSUED: 2/14/2019
CITY OF ATLANTIC BEACH
'491:19', EXPIRES: 8/13/2019
TOTAL:$107.00
Issued Date:2/14/2019 2 of 2
3"->'r t Mechanical Permit Application "ALL INFORMATION
47. a �k ~ HIGHLIGHTED IN
' N re City of Atlantic Beach Building Department GRAY IS REQUIRED.
',. "' , 800 Seminole Rd, Atlantic Beach, FL 32233
Jfic
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: A
JOB ADDRESS: 1729 Ocean Grove Dr.Atlantic Beach, FL 32233 PROJECT VALUE $3.200.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
D✓ REPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9667172
❑Air Handling Equipment Only O Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 3.5
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED) 14.00
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)
ED 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:
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: h IQ AA J i 13 .�.7''LF Phone Number:
Mechanical Company: Air Tech of Jacksonville,Inc Office Phone: (904)880-9558 Fax(904)683-9532
Co. Address: PO Box 57297 City: Jacksonville State: FL Zip: 32241
License Holder: Michael Crabtree State Certification/Registration # CAC057670
Notarized Signature of License Holder 771.4.4.41‘,4A—,7611a .
The foregoing instrument was acknowledged before me this qday of A.b , 20 IY, in the State of Florida,
County of vs4.( _ - —
Signature of Notary Pub '•
NMN,
�'''4 CHRIS NOWAK [ ) Personally Known OR [.•}'produced Identification
,0 . Notary Public•State of Florida r
. Commission•GO 021686 ( Type of Identification: FL b .-
/ My Comm.Expires Aug 16,2020 j Updated 10/9/IS
,5!...tv.v.,.,,,
Le.- _t,
_, ,...... ,7Cash Register Receipt Receipt Number
00 z
City of Atlantic Beach R8155
-44 D;3 E.)r
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $107.00
ACRS19-0045 Address: 1729 OCEAN GROVE DR APN: 169610 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8155 $107.00
Date Paid:Thursday, February 14, 2019
Paid By: AIR TECH OF JACKSONVILLE
Cashier: CT
Pay Method: CREDIT CARD 719821
Printed:Thursday,February 14,2019 9:07 AM 1 of 1
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