916 Hibiscus St ACRS19-0104 Replace AHU MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0104
ISSUED: 4/3/2019
CITY OF ATLANTIC BEACH EXPIRES:9/30/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
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:
916 HIBISCUS ST MECHANICAL RESIDENTIAL
HVAC replace 2-ton 24K-BTU AHU $3200.00
TYPE OF REALESTATE ZONING: BUILDING USE
SUBDIVISION:
CONSTRUCTION: NUMBER: ---GROUP:
1709480660 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
DON'S AIR CONDITIONING 2403 KELLOW CIR JACKSONVILLE FL 32216
INC
OWNER: ADDRESS: CITY: STATE: ZIP:
GRANT DANA EDWARD 616 PINE ST NEPTUNE BEACH FL 322GG-3778
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 COW 322 1000 2 $1600
FURNACES AND HEATING 455 COW 322 1000 24000 $24,00
MECHANICAL BASE FEE 455 COW 322 1000 0 $55100
STATE DOOR SURCHARGE 455 COW 208 0700 a $2.00
STATE DCA SURCHARGE 455 COW 208 0600 0 s2W
Issued Date:4/3/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMITNUMBER
PERMIT ACR519-0104
ISSUED:4/3/2019
CITY OF ATLANTIC BEACH EXPIRES: 9130/2019
TOTAL:$99.00
l�ued Date:4/312019 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-DePti?iIcoab.jLs PERMIT#: A11,VSLoi-C(O�
JOB ADDRESS: tt "fO J E C"r VA W E$4,;t 0 6
[]NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION AR1#1REQUIRED) .
13Air Handling Equipment Only 0 Condenser Only [3 Air Handling Unit& Ccin�enser
Air Conditioning: Unit Quantity_ Tons per Unit
Heat: Unit Quantity_ BTUs per Unit Seer Rating(REQUIRED)_
Duct Systems: Total CFM
O'REPLACEMENT AIR CONDMONING&HEATING SYSTEM INSTALLATION A111111ilf(REQUIRED)
[3Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit �9—
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED) A/
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)
MFIRE PLACES r7 MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
Gas Piping Outlets Boilers EITUs
ElevatorilEscalators
[:]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
wells
FICITHER:
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: eLLI-A) GAO'—f Phone Number:
Mechanical Company�la--Q— A/"- T�� Office Phone:1704-ZY?-&ZLI-7 F��
Co.Address: qq3g) k2cLo,,) 0(fte�09 city: �TAekvAltjt(- tate:.& zip:
License Holder: -1 '01J A4,4A A-. tv-�e44-i-- State Certification/Registration#
Notarized S
OT Holde A, Cc,,.�
'knowledged before me this a -61 20—�in the State of Florida,
The forepA irstrument w
county of
com. 187M Signature of Notary PubI4
Personally Known OR I I produc Ide tific !on
F Type of Identificatic
Up�ixxi 1019119
/ ,S- c ct- 's 2" I S � -
A-?LA,01'C- gcift-
"A)-' '.;L
m6d�-t cq CS7- 1�094 � -
N'� Vp as
:�LC-e&j gtLtevi -