1280 W Plaza ACRS19-0095 HVAC PERM A
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0095
ISSUED: 3/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/21/2019
CODE,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
OF • 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:
MECHANICAL RESIDENTIAL install two 2-ton 24K-BTU
1280 W PLAZA HVAC AHUs & 1480 cfm ducty $7360.00
system
TYPE OF
CONSTRUCTION: NUMBER: G • '
170979 0000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
ISLAND HEATING AND AC 1146 Hamlet Court Neptune Beach FL 32266
• . STATE:
BROWN JAMES W 4012 RUSTLING OAKS CT JACKSONVILLE FL 32277
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 4 $32.00
AIR DUCT SYSTEM 4S5-0000-322-1000 1480 $20.00
FURNACES AND HEATING 45S-0000-322-1000 48000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 3/25/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
' ACRS19-0095
PERMIT
s, ISSUED: 3/25/2019
CITY OF ATLANTIC BEACH
EXPIRES: 9/21/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $135.00
Issued Date:3/25/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 A C �s jq ~0 l S
JOB ADDRESS: 1 Sc (/l� p IC,?-0, PERMIT# �FS�� -d i S
PROJECT VAL UE $__7 3&o , O o ARI# '�3.3 )3 n REQUIRED
Air Handling Equipment Only Air Handling Unit& Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 2 Tons Per Unit
Heat: Unit Quantity BTU's Per Unit y Ooo Seer Rating
Duct Systems: Total CFM i o REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
i Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# 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.
Property Owners Name_E Q 6 Qf,yes Phone Number(
.0 26 'S6 5(0
Mechanical Company I�Jc„r,_J ceJ Alt Office Phone 22'671/ Fax
Co. Address: 11"4 City Ak P�L+'e- State ft Zip 3
License Holder(Print): �� U !tet ertification/Registration #C/ !7ts�°1
Notarized Signature ol'License Holder
efore me this day of YV1C1kC-► \ 20 \a�
�nnr""•• HEAnwtt DAME1 1 BURRE M
rrncoMrlalssloN:FF 9nsta ignature of Notary Public.,
a. 4tf EXPIRES:April tt,2020
RECEIVED
MAY 3 20V CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
BuNng Department Telephone(904)247-5800
City of AUanflic Beach. FL FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date:S- 3- 141 Received by: Resubmitted:
Permit Number: A< a_S 19 oa9 T
Original Plans Exeminer: Project Name: FStre bfa..rn fe rlea.e.•o
Project Address: 1,2 C.IeS c.Z0.
Contractor: cn .Q
ContactNmme:_(�rls�vs ,(ke
Contact Phone : 710Congoat : a; ',j�Ye�ieu,e�
Revision/Plan Check/Permit Fee(s)Due:
Descri tion of Pro osed Revision to Exbting Permi / 11
9 C d O 1. / �/ ?✓ti� SQf4C
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I(pdm n.m) LJ r(cc..n A.te affirm that the above revision
is inclusive of the proposed changes.
�� 5- 3- 2x19
Signature of Contractor/Agent(Constar in=sisn if in. in vNmriun) Date
Omcc L)w Only
D. _ Appmved: Related: Norir.dby:
Plan Re raw omments:
ri C o p-rJ -1 To b Lte V 62-e vi$iOrl V DAA TI�f
om`¢_
D arhnent review r uired Yes o
ng 8 Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities -
Public Safety
Fire Services Date new.nv. s
2 9 �
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