355 W 3rd St ACRS19-0060 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0060
ISSUED: 2/26/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/25/2019
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:
355 W 3 ST MECHANICAL RESIDENTIAL install 3-ton 36K-BTU AHU & $3900.00
HVAC 1.2K-cfm duct system
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1708731000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCGOWAN'S HEATING & 11320 Phillips Parkway Drive East Jacksonville FL 32256
AIR CONDITIONING
OWNER: ADDRESS: CITY: STATE: ZIP:
BEASLEY GERALDINE ET AL 237 SOUTHERN ROSE DR JACKSONVILLE FL 32225
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 $24.00
AIR DUCT SYSTEM 4S5-0000-322-1000 1200 $20.00
FURNACES AND HEATING 4S5-0000-322-1000 �boje $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.001
STATE DBPR SURCHARGE 455-0000-208-0700 $2.001
Issued Date:2/26/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0060
PERMIT
ISSUED: 2/26/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/25/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$127.00
Issued Date:2/26/2019 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
Phone: (904) 247-5826 Email: Build ing-Dept@coab.us PERMIT
JOB ADDRESS: PROJECT VALUE $
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) i�S C�Cl
0 Air Handling Equipment Only El Condenser Onil Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity I BTUs per Unit" Seer Rating (REQUIRED)
Duct Systems: Total CFM I
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
E]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
EFIRE 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-IFIRE PLACES F7MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
7ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
tt Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
FICITHER:
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: A-0 f --t Phone Number:
Mechanical Company: V-kCCc-y-)CU--N 1 15 Office Phone':U---.>19-C��--�q FaQ T6
Co. Address: City: State: f�— Zip:,jZZUV
License Holder: Ik :)Lnyy,�� V�2a State Certification/Registration#P tUr-12 C-3 -7z:;
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Notarized Signature of License Holder
The foregpip fore me this;A"%
,.g instrument was acknowledged be day of 20 ft in the State of Florida,
VA
Signature of Notary Public aLz:a�
DEBRA LYNN S
MY COMMISSIoN#CPITZ
22951s
EXPIRES:oclob,15 2022 [L4'6ersonally Known OR Produced Identification
BMW Ttft Ntr�PuNic under.*,s Type of Identification:
rs
Updated 10/5�/18
Cash Register Receipt Receipt Number
City of Atlantic Beach R8253
OWN
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $127.00
ACRS19-0060 Address: 355 W 3 ST APN: 170873 1000 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-000'0-208-0700 1 0 1 $2.00
STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8253 $127.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
02,�26,2019 12:57:48
CREDIT CARD
VISA SALE
Card XXXXXXXXXXXX3703
SEQ;: 4
Bath;: 989
INVOICE 6
Approval Cok 674851
Entry Method: Marual
Mode: Onlix
Tax Amount: $0,00
Cust Code:
Card Code: M
SALE AMOUNT $1271
CUSTOMER COPY
Date Paid:Tuesday, February 26, 2019
Paid By: MCGOWAN'S HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 674851
Printed:Tuesday,February 26,2019 12:58 PM 1 of I