1633 SELVA MARINA DR ACRS18-0041 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS18-0041
PERMIT
ISSUED: 3/27/2019
19, CITY OF ATLANTIC BEACH EXPIRES: 9/23/2019
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: PERMITTYPE: DESCRIPTION: VALUEOFWORK:
1633 SELVA MARINA DR MECHANICAL RESIDENTIAL Replace 2.5 ton 28.4K BTU $3500.00
HVAC AHU
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1719930000 SELVA MARINA UNIT 05
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR 532 S 3rd ST JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
FERGUSON MICHAEL ALAN 1633 SELVA MARINA DR ATLANTIC BEACH FL 32233-5615
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 011
iRoll 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 2.S $16.00
FURNACES AND HEATING 455-0000-322-1000 28400 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $S5.00
STATE DBPR-SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 4SS00002080700 I - 01 $2.00
Issued Date: 3/27/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
44�
JoD ADDREss:. 33 Sie,( v OL
PRojEcTv4wEs 3soo , c5c, ARI# %099� D
REQULUD
Air Handling Equipment Only ZAir Handling Unit& Condenser Condenser Only
NENV AIR CONDITIONING & HEAMG SYSTEM INSTALLA13ON
Air Conditionizig: 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 Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Qviantity (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 (Requim 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
('hi5 Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerawr Condenser BTU's
4 Water Heaters Solar Collection System
Tanks (gallons)
Wells
OTHER:
Ain
ermit ht:cornes void if work does ixotcommence wid asixinonthperiod or work is suspended or abandoned for six molift.i hereby=dfy tbat I have rei
kis�tppl ication.and know the same to be zue and correct All provi3ions of laws and ordinances govcuing this wo*will be complied with whether speoffic�
iot. The perrait does not give authority to violate the provisions of any other state or local law rogulazoo 000mcdon or the poftwance,of colstrucdon.
3roperty Owners Name r, -F�C6�&E 0 r, Phone Number--Z� 2z?
jV, r Office Phon&�V I
\4echatlical Company Fax2�L 3-1 W
�o. Address: H'e city J-��rba-- state E,�—zip
Icense Holder(Print): \. �k -0 01fl 04 C�--, State,Certification/Registration#
\rofari�ed Signaaff e of Lkense Holder VV O�'�
fts day of,,0, 20
VIA,
R.M-4, RICHARD L.TOMPKINS
ic
CommitsimilIGG11968i of Notary Publ
.4
Expkes July 29,2021
4 9W*d 7%TmY FOln IMM00=10,%&MO
Cash Register Receipt Receipt Number
City of Atlantic Beach R8571
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $285.00
ACRS18-0010 Address: 2233 SEMINOLE RD 32 APN: 169519 0162 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0� 0 $2.00
STATE DCA SURCHARGE 45500002080700 1 0 $2.00
ACRS18-0011 Address: 1530 SELVA MARINA DR APN: 171985 0000 $79.00
MECHANICAL $75.00
- 0= 55007
MECHANICAL BASE FEE 455-0000-322-1000 700
�0 00
AIR DUCT SYSTEM 455-0000-322-1000 700 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45SO0002080700 0 $2.00
ACR518-0041 Address: 1633 SELVA MARINA DR APN: 171993 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 T- $16.00
FURNACES AND HEATING 455-0000-322-1000 28400 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 1 $2.00
STATE DCA SURCHARGE 1 45500002080700 1 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8571 $285.00
Date Paid: Wednesday, March 27, 2019
Paid By: DONOVAN HEATING &AIR
Cashier: LE
Pay Method: CREDIT CARD 2
Printed:Wednesday, March 27,2019 10:17 AM 1 of 1