120 JACKSON RD HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0068
ISSUED: 3/4/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/31/2019
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:
120 JACKSON RD MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $2500.00
HVAC TON
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1721400000 DONNERS S/D PT LOT 2
17-
COMPANY: ADDRESS: CITY: STATE: ZIP:
MARCO HEATING AND AIR, 720 MILL CREEK ROAD JACKSONVILLE I'L 32211
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 45S-0000-322-1000 30000 $24.00,
MECHANICAL BASE FEE 45S-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 3/4/2019 1 of 2
PERMIT NUMBER
MECHANICAL RESIDENTIAL HVAC
-0068
ACRS19
PERMIT
ISSUED: 3/4/2019
COM 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
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 C>
Phone: (904) 247-5826 Email: Building-Dept coab.us AUD6 ob&c)
@ PERMIT#:
12-0
JOB ADDRESS: W JACKSON ROAD PROJECT VALUE$2,500-00
21 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED),, Z,'-,2q)�P _�_I
11 Air Handling Equipment Only [I 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
OREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
[I Air Handling Equipment Only 0 Condenser Only EI 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
F—IFIRE 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)
r_�FIRE PLACES F7MISCELLANEOUS:
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
F-JOTHER:
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)813-3661
Mechanical Company: MARCO HEATING&AIR,INC. Office Phone: 743-3350 Fax 743-4427
Co.Address: 720 MILL CREEK ROAD City: JACKSONVILLE -State: FL Zip: 32211
License Holder: BARRY CAMPBELL Smt64Certification/Registration# CAC18151711
Notarized Signature of License Holder
The foregking instr ment was acknowledged befor/me tk/is-4 day of
County of a_6�� 20 in the State of Florida,
Signature of Notary Public\lj�,,,,
BONNELLW.CRAI
I Personally Known OR Produced Identification
--�' k *. "
j MycomMISSION#GG2481197
611de Thm Notay PUW Ur&-Rem
Updated 1019118
beril.2022
Type of Identification:
ExPIRES:Decem