1011 JASMINE ST ACRS18-0311 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r t� PERMIT ACRS18-0311
ISSUED: 3/26/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/22/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT • 1 OF • '
CODE, ' OF ATLANTIC BEACH CODEOF • '
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
1011 JASMINE ST HVAC 3 Ton 33K BTU HVAC Unit $3400.00
TYPE OF
ZONING: :D •
• • GROUP:
170990 0550 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
NORTHPORT
CONSTRUCTION GROUP 2905 SPRING PARK RD JACKSONVILLE FL 32207
dba NORTHPO
• ADDRESS:
BAJAGILOVIC SULEJMAN 1011 JASMINE ST ATLANTIC BEACH FL 32233-1816
ET AL
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4SS-0000-322-1000 3 $24.00
FURNACES AND HEATING 4SS-0000-322-1000 303000 $0.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $55.00
Issued Date: 3/26/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0311
ISSUED: 3/26/2019
vfj , CITY OF ATLANTIC BEACH EXPIRES: 9/22/2019
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 0 $2.00
TOTAL: $83.00,
Issued Date:3/26/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. Fl.32233
Ph(904)I247-5826 Fax(904)247-5845
JOB ADDRESS: I01 Ol'S m t n C S� PERMIT#A /r
PROJECT VALUE$11400'6u ARI# Q6 G22?3 REQUIRED
Air Handling Equipment Only ✓Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit '
Heat: Unit Quantity ( BTU's Per Unit Ooo 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) K
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
# 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.1 hereby certify that 1 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 NameSU�e tS L Ck t 6v, C Phone Number 04 47; —/04,2-
Mechanical Company o at2 T1 eG Ad l� Office Phone 810Fax �'3142 S
�G � � C�72—_tet o£s'
Co. Address: N6 SPS n0I 1 City�aCksoe)ut��C State r�' Zip2233
License Holder(Print): T IKu r" IvAgYkN State Certification/Registration #C C ,5-00 3 1
Notarized Signature of License Holder
p,. Nagy Pubtw stsa a efore me this 1�day of 20 _
shtrley M Miller
MyCwm"*nG0164925 lure of Nota Public
Scanned with CamScanner
YS
•
r Registersh
City of Beach •
541
DESCRIPTION • CITY PAID
PermitTRAK $150.00
ACRS17-0082 Address: 1484 LINKSIDE DR APN: 172374 6390 $67.00
MECHANICAL $63.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0700 0 $2.00
ACRS18-0311 Address: 1011 JASMINE ST APN: 170990 0550 $83.00
MECHANICAL $79.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE7777 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE *NONE* 0 $2.00
TOTALBY $150.00
Date Paid: Monday, March 25, 2019
Paid By: NORTHPORT CONSTRUCTION GROUP dba NORTHPO
Cashier: CB
Pay Method: CREDIT CARD 6050g
Printed: Monday, March 25, 2019 3:12 PM 1 of 1