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1260 LINKSIDE DR - HVAC ,;51 —ii" MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER • s� ACRS19-0083 PERMIT � ISSUED: 3/18/2019 ��;�� CITY OF ATLANTIC BEACH EXPIRES: 9/14/2019 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: 1260 LINKSIDE DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $4950.00 HVAC TYPE OF REAL ESTATE 1 ZONING: I BUILDING USE i SUBDIVISION: CONSTRUCTION: I NUMBER: GROUP: 172374 5060 SELVA LINKSIDE UNIT01 COMPANY: ADDRESS: CITY: STATE: ZIP: WHITLEYS HEATING AND 6299 -16 P POWERS AVE JACKSONVILLE FL 32217 AIR LLC OWNER: ADDRESS: CITY: STATE: ZIP: SUTTON DIANE 3948 3RD STS #301 JACKSONVILLE FL 32250 BEACH 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 3 $24.00 FURNACES AND HEATING 455-0000-322-1000 36000 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 Issued Date:3/18/2019 1 of 2 o,-"-'%, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER .'s,t ACRS19-0083 - ') PERMIT ISSUED: 3/18/2019 ��,�, CITY OF ATLANTIC BEACH EXPIRES: 9/14/2019 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $107.00 Issued Date:3/18/2019 2 of 2 Mechanical Permit Application **ALL INFORMATION T'-�'''� pr HIGHLIGHTED IN � a �, City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 0- 0, " Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: fie-RS(9 -Cip 2 JOB ADDRESS: j �' L , n/�3�re� -��c23? PROJECT VALUE$ / -7 '� G n NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only ❑ Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED) Duct Systems: Total CFM / p 1 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ^�/ C C 17 `-/ D Air Handling Equipment Only ❑ Condenser Only 0-Air Handling Unit& Condenser Air Conditioning: Unit Quantity / Tons per Unit 3 Heat: Unit Quantity / BTU's Per Unit 3L Seer Rating (REQUIRED) 17/ Duct Systems: Total CFM 1E1 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 n MISCELLANEOUS: Prefabricated Fireplace (Qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators El ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks (gallons) Wells n 0TH ER: 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 erformance of construction. Owner Name: Dialte__ ' S 0-1+011q / �� , �J Phone Number: 90177" g6(1-1 `'//X) Mechanical Company: l h['"f lef�� S i trA. fWl Office�P�hone: (7. ./--4.:)2,6 '/1 ax Co.Address: 3:5) 7i' �(�' , 'I/yv0./n 3.,2a0 City: . \ I//e State: rt Zip: 3,;'?< O 7 License Holder: tj/!t?.;,Yvit 1 //' Tie State Certification/Registration# CAS--/ I„1 `/y/ Notarized Signature of License Holder The foregoip�ggyynstr��umment was acknowledged before me this I day of i'�&i1.* ,20 9 i he State of Florida, �I, County of k,VQX Signature of Notary Public 414,1-(.0-Vin tiw' ''. JOSETTE A RETHMEL .1 : Commission#FF 218261 Personal) Known OR Produced Identification [ l Y . ;�a Expires April 7,2019 pe of Identification: L CD60(>U a �✓ -� •-a�„t°•, BmdW Thu Troy Fin Insurance 8034054019Updated 10/9/18 Cash Register Receipt Receipt Number \ City of Atlantic Beach R8452 .--.01,!.)} DESCRIPTION I ACCOUNT QTY I PAID PermitTRAK $107.00 ACRS19-0083 Address: 1260 LINKSIDE DR APN: 172374 5060 $107.00 MECHANICAL $103.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 1 455-0000-322-1000 3 $24.00 FURNACES AND HEATING I 455-0000-322-1000 36000 $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: R8452 $107.00 Date Paid: Monday, March 18, 2019 Paid By: WHITLEYS HEATING AND AIR LLC Cashier: CT Pay Method: CREDIT CARD 52456 Printed: Monday, March 18,2019 11:16 AM 1 of 1 TI‘ �xwrr