1611 Beach Ave ACRS19-0125 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0125
PERMIT
ISSUED:4/19/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/16/2019
MUST CALL INSPECTION PHONE LINE (904) 247-S814 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:
1611 BEACH AVE MECHANICAL RESIDENTIAL HVAC- I A/C, 1 AHU, 3 TONS $7100.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
NORTH ATLANTIC BCH
1696470000 UNIT 1
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
ZIP:
OWNER: ADDRESS: CITY: STATE:
WILKINSON HENRY 1611 BEACH AVE ATLANTIC BEACH FL 32233
BROOKS
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 ORAN
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 QUA!TlTY PAID AMOUNT
4CANDRIIR ERA N OWO 322 1000 1 $2400
7_--'G _ TL
�NNACE�AN. CAT N� )000 322 1000 36" $2400
MECHANICAL BASE FEE 455-000o322-10100 0 555�00
Issued Date:4/19/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0125
ISSUED:4/19/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/16/2019
STATE DBPR SURCHMGE 455�208-0700 0 S2.00
STATED�SURDHMGE 455�208-0600 0 $2.00
TOTAL:$107.00
Issued Date:4/19/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800,Scminoic Rd Atlantic Beach, 111. 32233
Ph(904)247-5826 Fax(9(4) 247-5845 PIUS(9 _0 1z_S
JonAD6RES1h':____ 10 Beda(t Le PERM114
PROJECT VALUE ARI#
—Air Handling Equipment Only /Air [inn tiling U nit & Condenser —CoudenwrOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Airdonditioning: UnitQuentity Tons Per i.�nit —
Hvat� Unit Quantity 8 M's Per Unit Scer Rating
Lhict�Svstcrns: Total CFM
REQVIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLKI'ION
AirConditioning: UnhQuountity Tons per Unit 3
Ileati Unit Quantity I 3TO's Per Unit Seer Ruliulk-11—
Duct'SyNterns: Total CFM REQUIRKIt
FIRE PREVENTION
Fire $prinkler Systern Quantity (Requires 3 sets of plans)
Firc sumpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Vnjm (Requires 3 sets of plans)
Fire How Cabinets Quantity (Requires 3 sets of plans)
Conamencial licamis
Quantity (Requires 3 sets of plans)
Hoo Suppression Systelvis Queultily
(Roquires 3 sets of Plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qt)— Automobile Lifis
Ons piping Outlets Boilers _BTL_Ts
ALL OTHER G AS PIPING "cut
Quantity of Oulicis
4 vorl"I Wall Furnaces ... denser wru's
ei Wawr I lvatem z'11.' SYMMS
Tanks(6pollorti)
Wells
OTIIE14:
va'aa be�.aw,".'d I",ok doz,aw.'"olwiwa idislo mr!.%orenth pon,,i or wnrk Is vaspended or I wlwowi,L3 Char MyrnZ
All
ao 11*porlso do�. nat gosaw"ity a*violow maw or local 4.r,,1m.. 0,ow;porlbrosencroNoomnsak..
Propmy Owners Namc �)emr� \N ;W,w, —, Phone Number _QA- A2_-3�� j
Niechnni"Wompony— Ow"l—� Rrl� 'rk , Office Ph0nc';?1_2Lj�bF4"
Q,� Acidness: 36 tr ke city
Ltz4v;11A" StalcE4_75p
License flolder(Print): Khi,mr am7mg- State Certification/Pegisuation#
NolorizeilSignature qI Licenve Holder AfLll
BcforvrncthiN_j,7" dayor-4"v 20_/P
Signature of Notary Public v_5r
S
Cash Register Receipt Receipt Number
City of Atlantic Beach R8787
DESCRIPTION �9-111 I'm
PermitTRAK $107.00
ACRS19-0125 Address: 1611 BEACH AVE APN: 169647 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1:0:0:0::::]::::E::T $55.00
AC AND REFRIGERATION 455-0000-322-'000 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $4.00
15 0000 20'0700 0 $2.00
55_00",
STATE DCA SURCHARGE 1�455-0000-218 $2.00
STATE DBPR SURCHARGE
TOTAL FEES PAID BY RECEIPT: R8787 $107.00
Date Paid: Friday,April 19, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method:CREDIT CARD 5
Printed:Friday,April 19,2019 11:24 AM 1 of 1