161 SEMINOLE RD ACRS19-0093 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0093
ISSUED: 3/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/17/2019
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, IPIVIC, 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
161 SEMINOLE RD MECHANICAL RESIDENTIAL replace 3.5-ton 42K-BTU $4000.00
HVAC AHU
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1706080000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
B-COOL A/C& HEATING, 1003 BLANDING BLVD BLVD STE # JACKSONVILLE FL 32203-0062
INC. 301
OWNER: ADDRESS: CITY: STATE: ZIP:
BROWNING ARTHUR W JR 7622 HUNTERS GROVE RD JACKSONVILLE FL 32256-7241
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 455-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 3/21/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT
ISSUED: 3/21/2019
CITY OF ATLANTIC BEACH
EXPIRES: 9/17/2019
TOTAL:$107.00
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Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT M At�S 161- cc�3
JOB ADDRESS: 4/ Le
ja PROJECTVALUE$ YjjJ
gNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Haptning EquipmqCt Only, den ro dl- & Condenser
s�
p U
i r ncli;onin�� UnivQuantity Tons ni�
H t: ',4� Quantity BTUs p e r IRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) S7 �� ?6�
1:1 Air Handling Equipment Only El Condenser Only 9,*IAir Handling Unit& Condenser
Air Conditioning: Unit Quantity i Tons per Unit 3. 5
Heat: Unit Quantity f BTU's Per Unit Vyq-) 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)
F—]FIRE PLACES F-1 MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
EIALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
F-IOTHER:
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: Ao�ur B("ALl Phone Number:
Mechanical Company: 13- c441 0,W C-14(-0147 ,,I #Atl.I f�, OfficePhone: 37S- 0�17 —Fax
Co. Address: 1,) 3 �i-j 61%,l S,4c City: oro"'A F-(/k. State: rt zip: 32.i-f
License Holder: 13oouZI State Certification/Registration# rA r /�/-7W
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this c) � da f ��CAI 20-6 in the State of Florida,
County of -0 o,0 r-li-
jENNiFFR JOHNSTON Signature of Notary Public
91. MISSION#GG 042984
MY COM 2020
EXPiRES'October 27, Personally Known OR [��Produ�ed Identification
public Undermiters
Bonded Thru Notary ype of Identification: L
Updated 1019118