2213 Alicia Ln ACRS19-0075 HVAC permit _kVi
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0075
PERMIT
ISSUED: 3/12/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/8/2019
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:
2213 ALICIA LN MECHANICAL RESIDENTIAL replace 5-ton 60K-BTU AHU $13721.00
HVAC
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695190750 TIFFANY BY THE SEA
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
ADDRESS: CITY: STATE: ZIP:
DENNIS MANAGEMENT 1490 BENT CREEK DR SOUTHLAKE TX 76092
TRUST
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 45S-0000-322-1000 b $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $S5.00
STATE DBPR SURCHARGE no 208-0700 $2.00
Issued Date: 3/12/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0075
PERMIT
ISSUED: 3/12/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/8/2019
STATE DCA SURCHARGE 455-0000-208-0600 $2.00
TOTAL:$127.00
Issued Date: 3/12/2019 2 of 2
Permit Application "ALL INFORMATION
Mechanica HiGHLIG14TED IN
ach lBuilding Department GUYISREQUIRED.
City of Atlantic Be
SLID Ser-0i')0lQ Rd, Atlantic Beach, FL 32233
t
Phone, ON) 247-5826 Email: Budding-De
Lj` PERMITC,
PROJECT VALUE
JOB ADDRIESS:
MINEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # �8EOUIREV)
[3 AirHaadling EOI)TeOt Qr'�Y 0 Cordenser Or:-,, [3 Aii-Pondling Unit & Condenser
Air Conditioning' Unit Quanttt�e Tons per Unit Seer Ratin8(REQUIRED)
Heat: Unit Quantity BTUs per Unit
Duct Systefns� Total CFM
[tREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AM#'IREOUIRED)
[]Air Handling Equl.orlieli t 0.9)y' Ei C,-,r derser Only [2 Air Hundh:og Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 5 .-
Heat: Unit Quantity BTU's Per Unit (,10'11, Seer RatiTlg�REQUIRED) 11q
Duct Sy,,1lPMS: Total CI`N1
[]FIRE PREVENTION
Fire 5prinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 set5 of plansi
fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression.Systern5 Quantity iRequires 3 5,ets of plans)
F-�FIRE PLACES DMISCELLANEOUS:
Prefabricated Fireplace (Myl— Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elewato scallators
FIALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Furnaces Refrigerator Condenser 8TUs
#Water Heaters Solar Collection System5
Tanks(gallons)
Wells
r-1 rITW C 0
perm-it bec-:5rres vo,-d it work does r,�ot commence within a six rron-,h pc,icid or work is suspended or abandoned for six nvnths. I heeby
certify that v%ove read this app�icat*ona-�d kn(yv the samc to op.true and corm-et. Al provisions of lavA*-d ordinances govcming'bis
w*fk will be coripfied wl:t-.whether specified or not- The pe-mit does not give authority to violate the provision,of"other stike ot
local IS, egu latio-con strrc an or the perkxmoncr of cons--ruction
V,)3 -q0 3,- DO
OwnerNamc:_ Phone Number-..
mechanical CnmDatly Office Phone! qP11 -20 - Fax_,,,--
Co. Adcliress: L.n Le `7 City: 'L,
5,! Ile Aiwin State:—Ft zip-.
License Holder: State Certification/RegAiration Z/A
Notarized Signature of License Holder
The ftireigolnR instrument was a0nnwledged before me this I/Ardaynf �1 20 1
Countv cf 1 — ��o ,in ttie state of Florida.
SiFn 3 tij re of Notary Public:
lt*tAPJ)L TOWMIN-
K, Personally Knokv n OR Produced identification
:I-I-e;J01 21.1,M1 Type of Identification:
Ift r"I Far VWw"urmts-111ril 19,15/18
Cash Register Receipt Receipt Number
City of Atlantic Beach R8401
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $127.00
ACRS19-0075 Address: 2213 ALICIA LN APN: 169519 0750 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
STATESURCHARGES $4.00 1
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 1
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.001
TOTAL FEES PAID BY RECEIPT: R8401 $127.00
Date Paid: Tuesday, March 12, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 81889
00.
Printed:Tuesday, March 12,2019 2:30 PM 1 of 1