1927 MARY ST ACRS19-0082 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0082
,.
PERMIT
" ISSUED: 3/28/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/24/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENTi 1 OF • '
CODE NEC, IPMC, AND CITY OF ATLANTIC BEACH CODEOF 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
1927 MARY ST HVAC replace 2-ton 24K-BTU AHU $3779.00
TYPE OF
• • GROUP:
172360 0000 LEWIS S/D
COMPANY: ADDRESS:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
• ADDRESS:
MILLER RICHARD 1695 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 • •
'Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
9"
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 45S-0000-322-1000 24000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $SS.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
AU
Mechanical Permit Application "HIGHLI HIGHLIGHTED
ON
�p k1GFtLKsHTLt)IN
City of Atlantic Beach Building Department GRAY ISREQUiRED.
7 800 Seminole Rd, Atlantic Beach,FL 32233 pp
' Phone:(904) 247-5826 Email: Building-Depti yr +it o PtRMIT V; i`Sl�— gel
JOB ADDRESS: f,71-7 0' r, ( PROJECT VALUE 5 f`7
17NLW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARO lr(REQUIRED)
Q AJr Hondling Equipment Only E3 Condenser Only ❑Air Hondling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity_-_ BTUs per Unit _ Seer Rating(REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI N(REQUIRED)
)~]Air Hondling Equipment Only C]Condenser OrNy .i Air Handling Unit&Condenser
Air Conditioning: Unit Quantity I Tons per Unit
Heat: Unit Quantity t BTU's Per Unit 7,'j(,7,-3 Seer Rating(REQUIRED) j`(
Duct Systems: Total CFM
❑FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fere 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 Sysiems Quantity (Requires 3 sets of plans)
[FIRE PLACES MISCELLANEOUS:
Prefabricaled Fireplace(Qty) Automobile Lifts
Gas Piping Outlets Bailers BTUs
Elevators/Escalators
❑All OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
p Vented Wall Furnaces Refrigerator Condenser BTUs
is Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
f—JOTHER:
PrrmlI becorrn vo.d if work does not commence with•-tr six month period or work is suspended or abando-,co for six montns. I!ctrtn
cc r:tythat I rave read th=s app,;cation and laww the same to oe true and correct. All provisions of laws and ordinances governing this
work w it oe comp ied wit?,when er specd:ed or not. The permit does not give iiut�,orty to violate tie p,ovitions of any other state or
local lav regu ation cons:action or the pwrfo,mance of conur,ct on
Owner Name: N 1 f• Phone Number 9191-53�-`fw I
Mechanical Company: etitr 14II4'A:- Office Phone: Wki :tit - X;;7r-) Fax
Co Address. ?+15 " c Cny: r:a"li;Ile Jet. t_State. 1% Zip:
Ucense Holder: W.4 State Certificatior0elpstratron a 6ALP} 2y7b,t
Notarized Signature of License Holder
,.
The foregoing�tniment was acknowledged before me this�day of 1r_ /1` 20 l¢.in the State o/Florida,
County of.
Signature of Notary Public n-7 / r
�.,,b RICHAFZ L.TLMPICKS
r` { Comrnmvn a GG I SMI, "IP/ersonalty Known OR( )Produced Identification
' "' ' '�•yfXIt Type of Identification:
SNW T`'~Im Fro hers 7p W
ItprtsrM
Cash Register Receipt
• • '
City of Atlantic Beach R8589
DESCRIPTION ACCOUNT • 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
ACR519-0097 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 I 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 1 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
TOTAL11
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