2434 SEMINOLE RD ACRS19-0096 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
" PERMIT ACRS19-0096
ISSUED: 3/22/2019
CITY OF ATLANTIC BEACH
EXPIRES: 9/18/2019
MUST CALL INSPECTION PHONE • 1. 247-5814 BY , PM FOR . INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT ISTH • 1 OF • ' + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT + rr 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:
2434 SEMINOLE RD MECHANICAL RESIDENTIAL install 4-ton & 1.5 ton AHUs $23000.00
HVAC & 2200 cfm duct system
TYPE OF
• • GROUP:
168354 0150 SECTION LAND
COMPANY: ADDRESS:
ENVIRONMENTAL AIR 8110 CYPRESS PLAZA DR STE 106 JACKSONVILLE FL 32256
SERVICES,INC
• ADDRESS:
RICHARD BOEHME 1361 13TH AVE S 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4SS-0000-322-1000 S.5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2200 $28.00
FURNACES AND HEATING 455-0000-322-1000 66000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date:3/22/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r, ACRS19-0096
PERMIT ISSUED: 3/22/2019
IC BEACH
CITY OF ATLANTIC EXPIRES: 9/18/2019
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.27
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$155.27
Issued Date: 3/22/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
r
800 Seminole Rd, Atlantic Beach, FL 32233 A-�- S i6l
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: l d 0 ot3o2
JOB ADDRESS: 3`7 Sip?/Ala PROJECT VALUE$ 00C)
ANEW 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 BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM �2a00
❑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)
F—]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 performance of construction.
Owner Name: hm-E Phone Number:
Mechanical Company: 6filatv»nlof ety 4t/ /C Gtt �"r Office Phone: 2:72-0070 Fax
Co. Address: �/ C //.S� City:�Q� State: Zip: 21
License Holder: W fes- r S to Certification/Registration# e 4e �7 X01
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me th' Daday of CIVC�j 20 CIn the State of Florida,
County of >Oti U .__
Signature of Notary Public
JENNIFER JOHNSTON
MY COMMISSION#GG 042984 C ersonally Known OR ['] Produced Identification
EXPIRES:October 27,2020 Type of Identification:
Bonded Thru Notary Public Underwriters
Updated 10/9/18