1973 Seminole Rd ACRS19-0111 Replace AHU MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0111
PERMIT ISSUED:4/12/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/9/2019
WIL M11
ALL WORK MUST CClATMFT1F1I Pit—L-INAL11 I Din cy—
CODE NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
�Ll- CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicableto this property
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that may be found in the public records of this county,and there may be additional permits required from other
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governmental entities such as water management districts,state agencies,or federa gen ie .
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JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
MECHANICAL RESIDENTIAL replace 3.5-ton 42K-BTU $4500.00
1973 SEMINOLE RD HVAC AHU
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: BEACHSIDE
1695420504
COMPANY: ADDRESS: CITY: STATE: ZIP:
NORTHPORT
CONSTRUCTION GROUP 2905 SPRING PARK RD JACKSONVILLE FL 32207
Elba NORTHPO
--OWNER: ADDRESS: CITY: STATE: ZIP:
REEVEJAMES 1973 SEMINOLE RD ATLANTIC BEACH FL 32233-5917
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 a pproved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION �WUINU, .......... ..... ---
AC AND REFRIGERATION 455 0000 322 1WO 3.5 $24,00
FURNACES ANU HEATING 455 MO 322 FEW 42000 $24,00
MECHANICAL BASE FEE 455-0000 322 1000 0 $55.00
52.00
STATE DBPR SURCHARGE 45S GGRO-208 0700 0
Issued Date:4/12/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0111
SSUED:4/1212019
CITY OF ATLANTIC BEACH EXPIRES: 1019/2019
455 OD00-208-0600 T 0
5TATE IX4SURCOARGE
WITAL$107.00
Issued Date:4/12/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247�5826 Fas(904)247-5845
JOBADDMS:-�C�t�b ')r-MjMAt %I PERMffN
PROJECT VALUE S �5 t)CJ P' — ARI# 01601`41 REQUIRED
-.Air Handling Equipment Only ___Air Handling Unit& Condenser _CondenserOnly
NEW AIR CONDMONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity TonsPerUnit —
Heat: Unit Quantity BTU's Per Unit— Seer Rating
Duct System: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Un tQwm Tom Per Unit
U I
Heat: nit Quarnlittyy:�b3r BTU's Per Unit�O000 +115 Seer Rating A
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 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 — BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furraces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
le-il becomes void ifoorkdoes.rd carreacroc within a siTTM7"Issawaled.,aboadoned finMa months.I hcobyestify that I have rem
his application and Uov,the sanne to he one and correct. All previsions of laws and ordinances governing this work will be campliod with whether specitiodu,
not. The pertain does not give authority in violate the provisions ofany other state or local law regulation construction or the iacriburnonce,oferoustruction.
Property O"ers Name '30,A*&S uqf- Phone Number
Mechanical Company-WAXY,r� +�M� A, Ak?, -ofrcPhcd,-731-8ZL9.1,,, :M-SM
Co.Address: City State R Zip '37-7 C17
License Holder(Print): State Certification/Registration#CHC I OOSCI
XotarizedSignalure of License Holder
elope me this—4q—day of zjp7a
ignature of Notary Public
Cash Register Receipt Receipt Numbe
:11 City of Atlantic Beach R8733
DESCRIPTION ACCOUNT
PermitTRAK $107.00
ACRS19-0111 Address: 1973 SEMINOLE RD APN: 169542 0504 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24,00
FURNACES AND HEATING 455-0000-322-1000 42000 $2400
STATE SURCHARGES $4.00
STATE DEIPR SURCHARGE 455-0000-208-0700 0 $200
SrATE DCA SURCHARGE 455-OOOG-208-0600
TOTAL FEES PAID BY RECEIPT: R8733 $107.00
Date Paid: Friday,April 12, 2019
Paid By: NORTHPORT CONSTRUCTION GROUP dba NORTHPO
Cashier: CB
Pay Method: CREDIT CARD 1
Printed:Friday,April 12,2019 9:24 AM 10fi