253 ROYAL PALMS - MCAC19-0004 HVAC permit ., iy'' MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
' ' DETAILS PER BUILDING PLANSMCAC19-0004
'5ISSUED: 3/29/2019
„:torsi PERMIT EXPIRES: 9/25/2019
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
MECHANICAL COMMERCIAL INTERIOR BUILDOUT
253 ROYAL PALMS DR 1 HVAC DETAILS PER BUILDING $100.00
PLANET FITNESS
PLANS
TYPE OF REAL ESTATE it i BUILDING USE
ZON110 : SUBDIVISION:
CONSTRUCTION: NUMBER: - x GROUP:
177602 0060 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
PADGETT'S A/C& HEATING 6034 CHESTER AVE APT 119 JACKSONVILLE FL 32217
OWNER: ADDRESS: CITY: STATE: ZIP:
0 U R PROPERTIES INC PO BOX 330108 ATLANTIC BEACH FL 32233-0108
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 455-0000-322-1000 52 $194.00
AIR DUCT SYSTEM 455-0000-322-1000 10000 $84.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.33
Issued Date: 3/29/2019 1 of 2
S`:''' MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
�;,i�. N'� MCAC19-0004
�� � DETAILS PER BUILDING PLANS ISSUED: 3/29/2019
� ;f9;. PERMIT EXPIRES: 9/25/2019
TOTAL:$341.33
Issued Date: 3/29/2019 2 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: /tie /1- C ( "l OC cL,i
JOB ADDRESS: 253 Royal Palm PROJECT VALUE $100.00
✓Q NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM 10
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
1FIRE 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 (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
E]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
U Vented Wall Furnaces Refrigerator Condenser BTUs
tt Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
p OTHER: (1)15 ton RTU,(1)10 ton RTU,(1)8.5 ton RTU,(6)7.5 ton RTU's,(1)6 ton RTU(1)5 ton RTU&10,000 CFM
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.
Owner Name:PF Atlantic Beach, LLC Phone Number:
Mechanical Company: Padgett's Air Conditioning&Heating,Inc. Office Phone: (904)588-5222 Fax(904)722-8687
Co.Address: 3772 St.Augustine Rd. City: Jacksonville State: FL Zip: 32207
License Holder: Caren Padgett State Certification/Registration# CAC1814887
Notarized Signature of License Holder 6----- pCt_4
The foregoipginstru nt was acknowledged before me this day of arC 20\C\, in the State of Florida,
County of \)'LNG\
Sig ture of Notary Public
JESSICA SCULE
MY COMMISSION#GG083767 kJ/Personally Known OR [ ) Produced Identification
WIRES.MAR 15,2021
t Type of Identification:
`O1 ended through 1st State Insurance Updated 10/9/18
e? &*Al
r�
Cash Register Receipt Receipt Number
''vr City of Atlantic Beach R8600
II9'
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $341.33
MCAC19-0004 Address: 253 ROYAL PALMS DR 1 APN: 177602 0060 $341.33
MECHANICAL $333.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 10000 $84.00
AC AND REFRIGERATION 455-0000-322-1000 52 $194.00
STATE SURCHARGES $8.33
STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.33
TOTAL FEES PAID BY RECEIPT: R8600 $341.33
Date Paid:Thursday, March 28, 2019
Paid By: PADGETT'S A/C& HEATING
Cashier: LE
Pay Method: CREDIT CARD 7
Printed:Thursday,March 28,2019 4:05 PM 1 of 1
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