1373 Beach Ave ACRS19-0101 HVAC-1/C MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0101
ISSUED: 4/2/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/29/2019
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,orfecleral agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1373 BEACH AVE MECHANICAL RESIDENTIAL HVAC- I/C, 5 TON $4075.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1703000000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH IFIL 32233
HEATING &AIR
OWNER: ADDRESS: CITY: STATE: ZIP:
ANTHONY SARAH S TRUST 1373 BEACH AVE ATLANTIC BEACH FIL 32233-5731
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 4S5 0000 322 1000 5 $4000
A EALBASEFEE 4SS FRED 322 1000 0 $SS,00
F- ITATCE)R'I'R SURCHARGE 455 0000 208 0700 0 $200
4ARGE 455 FRED 208 0600 0 $2.00
TOTAL:$99.00
Issued Date:412/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0101
PERMIT ISSUED:4/2/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/29/2019
Issued Date:4/2/2019 2 of 2
"ALL INFORMATION
Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 CA C-AS (9- 0 0
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1373 Beach Ave PROJECTVALUE
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARIORECILHIRED)
13 Air Handling Equipment Only 0 Condenser Only [3 Air Handling Unit& Condenser
Air Conditioning: UnitQuantity_ TonsperUnit _
Heat; Unit Quantity_ BTUs per Unit_ Seer Rating(REQUIRED)
Duct systems: Total CFM
[ZIREPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9W5?64
[3 Air Handling Equipment Only 0 Condenser Only a Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 15
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
DIFIRE 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 Ho�Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
r-jFIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
Gas Piping Outlets Boilers BTLJs
Elevators/Escalators
DALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
FJOTHER:
Permit becomes void it 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. Phone Number:
owner Name:Sarah Anthonv
Mechanical Company: Chwlie�Tropic Heaft&Air -OfficePhone: Zql MYS Fax-
Co.Address: 750 Mayport Rd City: Atlantic Beach State: F1 Zip: 32265
License Holder: Amy O'Grady ate rtification/Registration If CAC18IN20
Notarized Signature afLicense Holder
The foregoing methis
Vtrume was acknowledged bef 1__da I �Vrj _,20 1 the S ate of Florida,
County V a Signatur of Notary Public
- -----------
EL LOOLBY q'Personally Known OR Pr ced Identification
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Type of Identification: i
R, 4,,f ExpiresSeptembw IS.20 Upd�3OP118