1765 BEACH AVE MECH HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0049
ISSUED: 3/1/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/28/2019
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 , D 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.
--JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1765 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 5 & 3 $11995.00
HVAC TON
TYPE OF
• • GROUP:
169673 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: ADDRESS:
FLORIDA COOLING STORE, 6211 JAMISON CT JACKSONVILLE FL 32257
INC.
• ADDRESS:
SHAPIRO JOEL R 1765 BEACH AVE 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 4S5-0000-322-1000 8 $64.00
FURNACES AND HEATING 455-0000-322-1000 96000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.21
Issued Date: 3/1/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0049
PERMIT
ISSUED: 3/l/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/28/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $151.21
Issued Date:3/1/2019 2 of 2
ALL
ION
**Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 QC2S�� - C�
`�j`'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1;761-S &Ich -- PROJECT VALUE
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM :?' 0
5E a� �a
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# REQUIRED)
EI Air Handling Equipment Only El Condenser Only Y Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit l_
Heat: Unit Quantity BTU's Per Unit O WSeer Rating (REQUIRED)
Duct Systems: Total CFM
Za C/000
EI 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:
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: I Phone Number: C
Mechanical Company: ILI
Office Phone: QZ�/ Fax
Co. Address: State' Zip:3
License Holder: �Cc •tc State Certification/Registration# N
Notarized Signature of License Holder
The foregoi instrumen was acknowle d before me this/ day , 01 i the State of Florida,
County of
Signature of Notary Public
:��'Py'• TONIG!NDLES?ERGER 'J�ersonally Known OR [ ] Produced Identification
MY COMMISSION#FP 924951
EXPIRES:October 6,2019 Type of Identification:
B-nde:]Thai Notary Public L'nderwrters
Updated 10/9/18