332 6th St ACRS19-0057 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0057
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:
332 6TH ST MECHANICAL RESIDENTIAL replace 3.5-ton 42K-BTU $3000.00
HVAC AHU
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1698610000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
DEITCHMAN GEORGE C 332 6TH ST ATLANTIC BEACH FL 32233-5348
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.
I
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 $j2�OO
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:2/26/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0057
ISSUED: 2/26/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/25/2019
TOTAL:$107.00
Issued Date:2/26/2019 2 of 2
-ALL I NVORMATION
mechanical Permit Application HICKOGHTED IN
City of Atlantic Beach Building L)epartment GRAY 15 RE(JUIRED,
900 Seminole Rd,Atlantic Beach,FL 32233 &
-IT X:
Phone; (904)247-S826 Email:Building-pe
,pt'i'tt,�o
_u -4,ul PER-,
JOB ADDRESS: PROJECT VALUE
-]NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION Afila(REQUIRIED)
0 Air Handling FqvipMCnt Only 0 Condenser Only 0 Air Fland(ing Unit&Conaenser
A?r Conditioning: Unit Quantity TonsperUnit Seer Rating(REOU)RED)
Heat, Unit Quantity RTUsperUnit
Duct Systems! Total CFM
/ D)
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLAI ION ARI#jREQUIRE
t2rAir Handiing Unit 8 Condenser
Air Hondling 14jiPMent Only C3 Condenser Only
Air Conditioning:, Unit Quantity I Tons per Unit
Heat, Unit Quantity- BTUs Per U Nt Seer Rating
Duct Systems: Total CFM
MFIRE PRrVENTION (Requires 3 sets of plans�
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Qualluty (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plars5)
OFIRE PLACES MISCELLANEOUS;
Prefabricated Fireplace(QtY)- Automobile Lifts
Gas Piping Outletfi Boilers BTUs
Elevators/Escalator's
CIALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
it Vented Wall Furnaces Refrieer;itor Condenser STUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
rJOTHER:
Pef,ri�t k��omesvoid f wv*k doesnot corrmence vidiinj s ijoniei perodorwork is wiptndodorttoridooed for iiix-,,�onth, lhteby
ct,tifyo-st I"o *ad%his appiiciitioo�and kiow thr sAme tobe tre and correct. AU provi%lonsof law!,;ndcwditancesg4over,-,ingf'-is
work wW be complied with whetiiirr spetified or"t. T-t-permit does not r
,j.,,juthopty to viola#the prov ol ariv other slair
issiv rei;Lila-on rnn%�tuctlor,.or the p t-ffo,rriarce cf co-Ir ctl oft
PhoneNumber: 9044
Owner Name
I Compan-y: office pjjt.�jje: qtlq 7q)- f2fj,�, Fax-
mechartica state t_21P
Cc,Addres5:
AZ(
2?
LicenSe Holder: State Cert0tC.Ation/Registration
Notarized Sr9nature of tictflise Holder WIL4
The foregoing t�ya�acknowledged Ibefore me this ;�JV'day of rr 20 14`,in the�iate of Flofida,
on
County of__= _� / -/�r
�W�nre of Notary Public
P
L TCUPK16S Personally Known OR Produced Identif"tion
e,(
T"e of Identif lcaitiioft�
Ej;Am A.1i 2S,2'21 VOMMMA/111
s z'.
Cash Register Receipt Receipt Number
City of Atlantic Beach R8255
0
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $214.00
ACRS19-0057 Address: 332 6TH ST APN: 1698610000 $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 SU RCHARG E 455-0000-208-0600 0 $2.00
ACRS19-0058 Address: 1883 BEACH AVE APN: 169685 0010 $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: R8255 $214.00
Date Paid:Tuesday, February 26, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 7
Printed:Tuesday, February 26,2019 1:25 PM 1 of 1