1067 BEACH AVE ACRS19-0079 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
+ 's� PERMIT ACRS19-0079
' ISSUED: 3/14/2019
,x,319 CITY OF ATLANTIC BEACH EXPIRES: 9/10/2019
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
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:
1067 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 1.5 $4000.00
HVAC TON
TYPE OF •
ZONING: : ! •
• • GROUP:
170267 0000 ATLANTIC BEACH
CO ADDRESS:
ANGLER HEATING & AIR 4533 SUNBEAM RD SUITE 403 JACKSONVILLE FL 32257
INC.
• ADDRESS:
MANDARIN EMPORIUM 2240 MAYPORT RD #7 ATLANTIC BEACH FL 32233
INC
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 1.5 $8.00
FURNACES AND HEATING 4SS-0000-322-1000 18000 $24.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
Issued Date:3/14/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r � PERMIT ACRS19-0079
ISSUED: 3/14/2019
3,a CITY OF ATLANTIC BEACH EXPIRES: 9/10/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $91.00
Issued Date: 3/14/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 CC t "0O`7
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#jW- r/ — D
JO ADDRESS: JO<9 Z 6eAdk dL� PROJECT VALUE$
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED
❑ Air Handling Equipment Only ❑ Condenser Only / r Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit /,5
Heat: Unit Quantity BTUs per Unit 1Pp OcD(�D Seer Rating (REQUIRED)
Duct Systems: Total CFM /
❑REPLACEMENT 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 BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑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 perfor aannc�ce of gonstruction.
Owner Name: 0 ) Phone Number:
Mechanical Company: n 74-x/ (�I/ I"— Office Phone-44 13-`OFax
Co. Address: -��5 ►� T City: j State: '14ip:02
L�� D /
License Holder: � � Certification/Regiistration#
Notarized Signature of License Holder l
The forego g i tru nt w s acknowledged before me this f ay f Ol in the State of Florida,
County of
Signature of Notary Public
�""°i''• TONT GINDLESPERGER
[ ] Personally Known OR ] Produced Identification
MY COMMISSION#FF 924951 0
EXPIRES:October 6,2019 Type of Identification:
k pd Fl°P' Bonded Thru Notary Public Underwriters Updated 10/9/18