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1607 Atlantic Beach Dr ACRS19-0084 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0084 PERMIT ISSUED: 4/8/2019 CITY OF ATLANTIC BEACH EXPIRES: 10/5/2019 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: 1607 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, I AHU, 4 TON $4800.00 HVAC TYPE OF REALESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1695051065 ATLANTIC BEACH COUNTRY CLUB UNIT 01 COMPANY:-- ADDRESS: CITY: STATE: ZIP: MCGOWAN'S HEATING & 11320 Phillips Parkway Drive East Jacksonville FIL 32256 AIR CONDITIONING OWNER: ADDRESS: CITY: STATE: ZIP: ATLANTIC BEACH 414 OLD HARD RD FLEMING ISLAND FIL 32003 PARTNERS LLC 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 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 4 $32.00 FURNACES AND HEATING 455-0000-322-1000 48000 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.001 Issued Date:4/8/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0084 PERMIT ISSUED: 4/8/2019 CITY OF ATLANTIC BEACH EXPIRES: 10/5/2019 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$115.00 Issued Date:4/8/2019 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 '— 0 '�? Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I A -t-', !e JOB ADDRESS: PROJECT VALUE 19NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 13 Air Handling Equipment Only E3 Condenser Only XAir Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit 4 Heat: Unit Quantity BTUs per Unit 43M Seer Rating(REQUIRED) 14-DO Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) [I Air Handling Equipment Only E3 Condenser Only 13 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 [—]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) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) F-�FIRE PLACES 7 MISCELLANEOUS: Prefabricated Fireplace (Qty)_ Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators F�ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks(gallons) Wells F-JOTHER: 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 erformance of construction. Owner Name: Phone Number:WMAMNSIM Z moon Mechanical Company: -4 Office Phone:��llllllllllllfFax Co.Address: City: State: Zip:1111111111111107 A 21 &,a License Holder: State Certification/Registration# Notarized Signature of License Holder The foregoing instrument was acknowledged before me this\t- dayoffy\arC,\ 201�, in the State of Florida, County of-t�.^-o,\ Signature of Notary Public%Z)A14-- DEBRA LYNN SP rrz 11N,'. [VI Personally Known OR Produced Identification II COLMISSION#GG 229515 EXPIRES:Octotef 15,2022 Type of Identification: Scoded TtVu Notary NINC UnderIIIII Updated 1019118 c, CC) V--) k C - Cash Register Receipt Receipt Number City of Atlantic Beach R8677 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $115.00 ACRS19-0084 Address: 1607 ATLANTIC BEACH DR APN: 169505 1065 $115.00 MECHANICAL $111.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 4 $32.00 FU RNACES AN D H EATI NG 455-0000-322-1000 48000 $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 TOTAL FEES PAID BY RECEIPT: R8677 $115.00 Date Paid: Monday, April 08, 2019 Paid By: MCGOWAN'S HEATING &AIR CONDITIONING Cashier: CT Pay Method: CREDIT CARD 612018 Printed: Monday,April 08,2019 9:22 AM I of 1