116 JACKSON RD HVAC PERMMECHANICAL RESIDENTIAL HVAC
Jj
SIN
PERMIT
CITY OF ATLANTIC BEACH
PERMIT NUMBER
ACRS19-0069
ISSUED: 3/4/2019
EXPIRES: 8/31/2019
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.
-• ADDRESS: • •WORK:
\1V,1216JACKSON RD MECHANICAL RESIDENTIAL HVAC 1 A/C, 1 AHU, 2.5 TON $2500.00
HVAC
DONNERS S/D PT LOT 2
172140 0000
17-
COMPANY:ADDRESS: CITY: STATE- ZIP:
MARCO HEATING AND AIR, 720 MILL CREEK ROAD JACKSONVILLE FL 32211
INC.
• ADDRESS:
AF AB VENTURE LLC 1738 SELVA MARINA DR 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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way
Issued Date: 3/4/2019 1 of 2
DESCRIPTION
ACCOUNT
QUANTITY
PAID AMOUNT
AC AND REFRIGERATION
455-0000-322-1000
2.5
$16.00
FURNACES AND HEATING
455-0000-322-1000
30000
$24.00
MECHANICAL BASE FEE
45S-0000-322-1000
0
$SS.00
STATE DBPR SURCHARGE
4S5-0000-208-0700
0
$2.00
Issued Date: 3/4/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0069
PERMIT ISSUED: 3/4/2019
�flit. CITY OF ATLANTIC BEACH EXPIRES: 8/31/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 3/4/2019 2 Of 2
20 , Mechanical Permit Application
�s City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
"ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #:
JOB ADDRESS: 116 JACKSON ROAD PROJECT VALUE $ 2,500.00
❑✓ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) qaL 'A )�v q I
❑ Air Handling Equipment Only ❑ Condenser Only El Air Handling Unit & Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.5
Heat: Unit Quantity 1 BTUs per Unit 30,000 Seer Rating (REQUIRED) 15.00
Duct Systems: Total CFM 1,000
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
❑ Air Handling Equipment Only ❑ Condenser Only
Air Conditioning: Unit Quantity Tons per Unit
ARI # (REQUIRED)
❑ Air Handling Unit & Condenser
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑FIRE PREVENTION
Fire Sprinkler System
Quantity
Fire Standpipe
Quantity
Underground Fire Main
Value
Fire Hose Cabinets
Quantity
Commercial Hoods
Quantity
Fire Suppression Systems
Quantity
FIRE PLACES
Prefabricated Fireplace (Qty)
Gas Piping Outlets
❑ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
OTHER:
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
❑ MISCELLANEOUS:
Automobile Lifts
Boilers BTUs
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser BTUs
Solar Collection Systems
Tanks (gallons)
Wells
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:MATHIEU BUILDERS Phone Number: (904)913-3661
Mechanical Company: MARCO HEATING &AIR, INC.
Co. Address: 720 MILL CREEK ROAD
License Holder: BARRY CAMPBELL
Notarized Signature of License Holder
Office Phone: 743-3350
City: JACKSONVILLE
FaX 743-4427
State: FI_ Zip: 32211
e Certification/Registration # CAC18151711
The foregoing instrument was acknowledged befor/me tKis da of
County of 1 j,�� 20 Q in the State of Florida,
_
Signature of Notary Public
fiONNELLW.CRAIG Personally Known OR [ ]Produced Identification
MYCOMMISSIONIGG248197 Ty a of Identification:
I EXPIRES: December 11, 2072
��' BondeE Thru Hderq Pubic UhdwiwtllKe
Updated 10/9/18