830 Jasmine St ACRS17-0137 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS17-0137
ISSUED: 3/19/2019
CITY OF ATLANTIC BEACH
-Olt EXPIRES: 9/15/2019
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:
830 JASM IN E ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3 TON $0.00
HVAC
TYPE OF REALIESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1709272020 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
LARRY TEAGUE &SONS 101 LEMON STREET NEPTUNE BEACH FIL 32266
HEATING &AIR
OWNER: ADDRESS: CITY: STATE: ZIP:
THORNTON MARC K 830 JASM IN E ST ATLANTIC BEACH I'L 32233
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.
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way._
FEES smom
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 45S-0000-322-1000 1 $8.00
FURNACES AND HEATING 4SS-0000-322-1000 1 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
$2.00
STATE DBPR SURCHARGE 45S-0000-208-0600 ro 4-
STATE DCA SURCHARGE 4S500002080700 0 $2.00
Issued Date: 3/19/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS17-0137
PERMIT
ISSUED: 3/19/2019
OR CITY OF ATLANTIC BEACH EXPIRES: 9/15/2019
TOTAL:$91.00
Issued Date: 3/19/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32933
Ph(904)247-5826 Fax (904) 247-5845 PERMIT# Ro,(�,S J7- V 137
JoB ADDRESS: 830 JASMINE ST
PROJECT VALUE$ 2849-00 REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser -X—Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU"s Per Unit Seer Rati REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 3 TON—
Heat: Unit Quantity 1 BTU's Per Unit 8KW— Seer Ratin 3- 14
Duct systerns: ToW CFM — REQUIRED
FIRE PREVENTION Quantity (Requires 3 sets of plans)
Fire Sprinkler System
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Furnaces ReftigeTator Condenser BTU's
Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
T
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certi Y that I have read
this application and know the same to be true and correct- All provisions of laws and ordinances goveming this work will be complied with whether specified or
not. The permit does not give authority to violate the pro-visions of any other state or local law regulation construction or the performance ofconstruction.
Property Owners Name MARC THORNTON------ Phone Number 904-219-4651
Mechanical Company LARRY THAGUE& SON -Office Phone 904-270-2289 Fax 249-8269
Co. Address: 203 OCEANFRONT City NEPTUNE BEACH—State FL—Zip 32266.
License Holder(Print): KATHY BROWNING—State Certification/Registration 4 CAC 1816895
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Cash Register Receipt Receipt Number
City of Atlantic Beach R8472
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $91.00
ACRS17-0137 Address: 830 JASMINE ST APN: 170927 2020 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
FURNACES AND HEATING 455-0000-322-1000 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8472 $91.00
Date Paid:Tuesday, March 19, 2019
Paid By: LARRY TEAGUE & SONS HEATING &AIR
Cashier: CT
Pay Method: CREDIT CARD 031952
Printed:Tuesday,March 19,2019 2:20 PM 1 of 1 IF