82 Forrestal Cir. ACRS19-0114 Js "i.Api„,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
t' PERMIT ACRS19-0114
1 s>
0' v ISSUED: 4/9/2019
.-,;; ,a CITY OF ATLANTIC BEACH EXPIRES: 10/6/2019
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:
•
82 FORRESTAL CIR MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2.5
HVAC TON $4250.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171753 0000 ATLANTIC BEACH VILLA#
01
COMPANY: ADDRESS: CITY: STATE: ZIP:
CHARLIE'S TROPIC
HEATING &AIR 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
DAVIS PHYLLIS J 82 FORRESTAL CIR S ATLANTIC BEACH FL 32233-3326
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:4/9/2019 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 A C 2s 9 -O( t..4
JOB ADDRESS: vim^ fa((es-6. ( C,f e k S. PERMIT#
PROJECT VALUE $ Ill S-0.0O
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI# ,'7: .'
Air Conditioning: Unit Quantity I Tons Per Unit ££ 'i- 1 t 'i I
Heat: Unit Quantity / BTU's Per Unit 30)C110 Seer Rating if
Duct Systems: Total CFM REQUIRED
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 or 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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger -
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser 8113's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or wnrk is suspended or abandoned for six months.t hereby certify that I have re
this application and know the same to be true and correct. All provisions of laws awl ordinances governing this work will be complied with whether specific
or not. The permit does not give authorityto viol the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number 90* i99 06/8
Mechanical Company C lam.r(t t_s fro Q rc 4-1e0.-1-1, /1- C Office Phone ZY 11788 Fax Z'l/ 2172_
Co. Address: 7b /�
5 ► P."+ City 1141444/4- ge.c Is, State - Zip g2733
License Holder(Print): LL V)N-A.:ti. \• hrV _ S , - Certification/Registration#0,067_q3 I
Notarized Signature of License Holder_ 11I_„
4.............. ..................0 Sworn and su=scribed oei,e me tis d/ of - 1L 20E1
�';Y F. AMY O'GRADY � Public
� /
Sift:,, ` , Notary Public-State of Florida ( Signature of Notary Public / .� # ,4
e Commission M GG 078050
= /
`� My Comm.Expires Mar 1,2021
1 ."�OpF1�, BandedlhroughNafionalNolaryAssn. I