429 Skate Road ACRS19-0116 Replace AHU Law MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
n PERMIT ACRS19-0116
ISSUED:4/11/2019
D. CITY OF ATLANTIC BEACH EXPIRES: 10/8/2019
INSPECTIONMUST CALL • r • FOR DAY INSPECTION.
• • • • • 1
CODE, AND CITY OF • • 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:
. • • r • • DESCRIPTION: OF WORK:
429 SKATE RD MECHANICAL RESIDENTIAL replace 2.5-ton 30K-BTU $3500.00
HVAC AHU
SUBDIVISION:TYPE OF REALESTATE ZONING: BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
1715270000 ROYAL PALMS UNIT
02A3.00
COMPANY: rr •
AIR DECISION INC 8110 Cypress Plaza Dr 8303 JACKSONVILLE FL 32256
ADDRESS: CITY: STATE: ZIP:
JCC Ventures, Inc. 1516 MALLARD LAKE AVE Saint Johns FL 32259
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 • r
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 2.5 $16D0
FURNACES AND HEATING 455 FORD 322 1000 30WO $2600
MECHANICAL BASE FEE 455 NEW-322-10M 0 $55.00
STATE DBPR SURCHARGE 455 WW-208-07M 0 $2,W
STATE OCA SURCHARGE 455 WOO 208-0600 O $200
Issued Date:4/11/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0116
CITY OF ATLANTIC BEACH ISSUED:4/11/2019
EXPIRES: 10/8/2019
TOTAL:$99.00
Issued Date:4/11/2019 2 of 2
ALL
•- INFORMATIONMechanical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 24I7-5826 Email: Build ing-Dept(@coab.us PERMIT#: AO Ll"ii _011
JOB ADDRESS: q 2 sn'x�I S kC�d c (1 Qd PROJECT VALUE$ !3 C)C�)
❑NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
cylDuct Systems: Total CFM
161 REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI p(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only A Air Handling Unit& Condenser
Air Conditioning: Unit Quantity ) Tons per Unit 11 ;
Heat: Unit Quantity BTU's Per Unit —�Tcxo� Seer Rating(REQUIRED) )�
Duct Systems: Total CFM
El 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 BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
It Vented Wall Furnaces Refrigerator Condenser BTUs
If Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
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 constructionorthe performance of construction. q /]
Owner Name: I �.G l/L'[q�U trC—� �V) C' Phone Number: —IO �.I 9 b 700
//�I r 19G Fax_ 'D
Mechanical Company: }i i / �A GAS rl O�q //7 C_ Office Phone:
Co.Address: 81 (O Gess -PPk z.s V r- d03 City: ZJ 6 . State:ELZip: -5
License Holder: F r\A �j /?o I N\ State Certification/Registration# iP I A 19 6a
Notarized Signature of License Holder
The foregoininstrument was acknowledged before me this_Lday f n l •20 Lam!',in the State of Florida,
County of E N.0 kL l
Signature of Notary Public V l�
JENNIFER]oRNs7oN I ] Personally Known OR produced Identification
E-1
ONp GG 013986 EXPIRES'oc xx 27,2030 Type of Identifications Fl_ (F +I BonBedlku NGey Pudic OMemnbn UptloMtllO/9/]8