410 GARDEN LN ACRS19-0070 rif"*:11 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,v 'ilk '-,, ACRS19-0070
rv'-- PERMIT ISSUED: 3/6/2019
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. ;� CITY OF ATLANTIC BEACH EXPIRES: 9/2/2019
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 .
4 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.
IJOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
MECHANICAL RESIDENTIAL replace 2.5-ton 30K-BTU $3450.00
410 GARDEN LN HVAC AHU
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
SELVA MARINA GARDEN
172020 5208 02
COMPANY: ADDRESS: CITY: I STATE: 1 ZIP:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207
LLC
OWNER: ADDRESS: CITY: j STATE: ZIP:
TOOMER CURTIS W 410 GARDEN LN ATLANTIC BEACH FL 32233-4528
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.
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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 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 3/6/2019 1 of 2
S' 2„,;t MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
abs g_ 't' ACRS19-0070
r. - a+ ry PERMIToiliiirISSUED: 3/6/2019
s� CITY OF ATLANTIC BEACH EXPIRES: 9/2/2019
4 STATE DCA SURCHARGE 455-0000-208-0600 0 $2'00
TOTAL:$99.00
I
I
Issued Date:3/6/2019 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 j
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Ae-I S "d°
JOB ADDRESS: 410 GARDEN LN -'1111111111r PROJECT VALUE $3,450.00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9154945
❑Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons p4r Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) •
Duct Systems: Total CFM
[TREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED) 915494s •
❑Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.5
Heat: Unit Quantity 1 BTU's Per Unit 30,000 Seer Rating (REQUIRED) 15.00
Duct Systems: Total CFM
FFIRE 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 F MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
FALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps •
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
I 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:CURT TOOMER i r It Phone Number: (904)294-8623
Mechanical Company: AVALON HEATING AND AIR Office Phone: (904)245-1818 Fax _
Co.Address: 3665 SPRING PARK RD City: JACKSONVILLE State: FL Zip: 32207
License Holder: wN .__-S SPA-��A,\,---, State Certification/Registration# CNBC \2.y°1 clbR
------
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this Ob-clay of O.,y- C\-‘,20 • • the State of Florida,
County of puv pal •
Signature of Notary Public ,' •
.
•
045‘Y POt,• Notary Public State of Florida [ I Personally Known OR'PProdu ed Identification •
Karen Selger
n M1ty Commission FF 228256 Type of Identification: C.-)L_
'f'oi IPo°P Expires 06!17!2019 Updated 10/9/18 •
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Cash Register Receipt Receipt Number
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City of Atlantic Beach R8352
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DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS19-0070 Address: 410 GARDEN LN APN: 172020 5208 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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: R8352 $99.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
03106;2019 13:23:13
CREDIT CARD
MC SALE
Card n XXXXXXXXXXXX0039
5
SEQ : 805
Batch Fl 5
INVOICE 060113
Approval Code, Mil
Entry Method: Onfne
Mode: $0.00
Tax Amount M
Card Code:
SALE AMOUNT $99.Q1
CUSTOMER COPT
Date Paid: Wedn€
Paid By: AVALON HEATING AND AIR LLC
Cashier: CB
Pay Method: CREDIT CARD 60143
Printed:Wednesday, March 06,2019 1:24 PM 1 of 1 j