851 BEGONIA ST ACRS19-0085 HVAC permit ,'" •, MECHANICAL RESIDENTIAL HVACf" ...'
PERMIT NUMBER
. ACRS19-0085
PERMIT
ISSUED:
' CITY OF ATLANTIC BEACH EXPIRES:
L— TOTAL:$99.00
IS
11
111
Issued Date: 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 f •
ag5(C) _O Q(
i-' io, Phone: (904) 247-5826 Email: ..;1 >i,i;i.og-U :pzii ,ib.`is PERMIT it:
JOB ADDRESS: 851 Begonia Street-Atlantic Beach,FL 32233 PROJECT VALUE$4,165.00
❑NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
El REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION AR!#(REQUIRED) - 5 \1 -$
0 Air Handling Equipment Only 0 Condenser Only MAir Handling Unit&Condenser
Air Conditioning: Unit Quantity\ Tons per Unit .4. 1'
Heat: Unit Quantity rBTU's Per Unit �`� Seer Rating(REQUIRED) `Lk
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 CabinetsQuantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
17 FIRE PLACES fMISCEUANEOUS:
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: r - • L NCZO1 AN': AY-U.3
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:Shari Townsend Phone Number: -d63-2220
Mechanical Company: Elite AC LLC _ Office Phone: 904-323-4611 Fax
Co.Address: 6060 Chester Circle City: Jacksonville State: FL Zip: 32217
License Holder: Robert Grant
V
a 1 toCertification/Registration# CAC181865sNotarized Signature of Ucense Holder �y
The foregoing in trrment was acknowledged before me this it d of 01Q(C. k ,20 I ', in the State of Florida,
County of ,► • l'l 4ti�J/€ M wvi
Signature of Notary Public
ANNA M. WILLIAMS
'r'a`;{?•- Notary Public State of FIcr da iArsonally Known OR ( ) Produced Identification
My
cc.rnm.b1''"-'.`' 6' Z"`" Type of Identification:
,�;' :''''0•.: yp
„•,•' Com;nesston Nu^her v'•i?i;: Updated 10/9/18
f )- Cash Register Receipt Receipt Number
City of Atlantic Beach R8459
0s;
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $99.00
ACRS19-0085 Address: 851 BEGONIA ST APN: 170927 1010 $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 27800 $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: R8459 $99.00
Date Paid: Monday, March 18, 2019
Paid By: Elite AC, LLC
Cashier: CT
Pay Method: CREDIT CARD 4914
Printed: Monday,March 18,2019 2:50 PM 1 of 1