133 BEACH AVE ACRS19-0098 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
s „s ACRS19-0098
PERMIT ISSUED: 3/28/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/24/2019
MUST CALL INSPECTION • • • i i PM FOR + INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
MECHANICAL RESIDENTIAL
133 BEACH AVE HVAC replace 3-ton 36K-BTU AHU $4459.00
TYPE OF
• • GROUP:
170213 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
• ADDRESS:
SCROGINS WILLIAM C 2000 CHEROKEE DR NEPTUNE BEACH FL. 32266
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 • •
(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 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 4S5-0000-322-1000 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: 3/28/2019 1 of 2
s
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r t PERMIT ACRS19-0098
ISSUED: 3/28/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/24/2019
TOTAL:$107.00
Issued Date:3/28/2019 2 of 2
'• INFORMATION
Mechanical Permit Application HiGHLIG1TEDIN
} City of Atlantic Beach Building Department CiiusytsREQUIRED.
1^- 800 Seminole Rd, Atlantic Beach,FL 32233
Phone:(904) 247-5826 Email: uilding-ne*pti`vco b.ti PERM N.
133 gectui Ait _.
JOB ADDRESS: l Vi ?--rggrh Avi PROJECT VALUE$ till b9
[]NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI d(RLQUMED)
O Air Handling Equipment Only ❑Condenser Only Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Toru per Unit
Khat' Unit Quantity _ BTUs per Unit _ Seer Rating(REQUIRED) _
D J C t Systems: Total CFM
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#,(REQWRED)
❑Air Handling Equipment Only C3 Condenser Only 0 Air Handling Urut&Condenser
Air Conditioning: Unit Quantity i Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑FIRE PREVENTION
Fire Sprinkit,r System Quantity (Requires 3 sets of pians)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3.sets of plans)
Fire Nose Cabinets Quantity T (Requires 3 sets of plans)
Commercial Hoods Quantity -� (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
[:]FIRE PLACES r7MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
rsas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchangef
Quantity of Outlets Pumps
a Vented Wall Furnaces Refrigerator Condenser BTUS
p W$ter Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Put^v1.become,void it work does not cam merle vwth-n a six month ocriod of v cvk h su8prnded or abandoned for six months. I hereoy
certify that I have rear(his oppiiution and.now tee same to tie true ano correct. All provisions of laws and ordinances lfoverrrtg ties
wo,;w111 be corpiled with whether sprc Jird ar nol. The piernat does^oc give authority to violate the provtuony cl any other nate or
lova.law ra#,latrorm co^str.,ction or the twrforma rtcr of ronstrLot!ion
Ua rite Namt: ;: Phone Number:_ Q11 `l 6""7 g
Mechanical Company. IA,un hit}- T.r`cr OffitePhone: 1. .t �, Fa-___
Co-Address: 315 )'a, City: , r,hila'+." .2-" State: � Zip:
License Molder. ytr dl (j,�,r fA State CertifktatioiVlkegrstratron a d(;/i_t? ;"Z1
F
Notorlted Signature of trcense Holder_ --• -f — —
LAI
i
The foragoin`I strulent was acknowledged before me this day of totdAk, 20 1 ',in the State of Florida,
County of
Signature of Notary Public
ROWM L TIkPKiNS
r C
� bwlrNfa7na GC,t+b58s ( crs4naliy Known OR( J Produced Identification
:,. Ewr"Aq 29,Mit Type of identdication:
Iu+40
M.I"fiiu Wrrrc+wl.Sti'tii ty.9ari!f R,"4dtR
Cash Register Receipt Receipt Number
City of Atlantic Beach R8589
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $297.00
ACRS19-0082 Address: 1927 MARY ST APN: 172360 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS19-0097 Address: 901 OCEAN BLVD Unit 3 APN: 170237 0256 $91.00
MECHANICAL $87.00
AC AND REFRIGERATION 455-0000-322-1000 2 $8.00
FURNACES AND HEATING 455-0000-322-1000 17600 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS19-0098 Address: 133 BEACH AVE APN: 170213 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
• R8589 $297.00
Date Paid:Thursday, March 28, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: LE
Pay Method: CREDIT CARD 2
Printed:Thursday, March 28,2019 10:29 AM 1 of 1 It
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