251 S Natutical Blvd ACRS19-0127 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0127
PERMIT ISSUED: 4/19/2019
)' 01 CITY OF ATLANTIC BEACH EXPIRES: 10/16/2019
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, IPIVIC, 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:
2S1 S NAUTICAL BLVD MECHANICAL RESIDENTIAL HVAC- 1 A/C, I AHIJ, 3 TON $7464.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1707030376 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR 315 ETH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
JURGENS CONRAD 251 NAUTICAL BLVD S ATLANTIC BEACH FL 32233
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 an City right-of-way.
=DESCRIPTIOIN ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455 OOW-322-1000 3 $2400
FURNACES AND HEATING 455 0000-322-1000 352W $24.00
MECHANICAL BASE FEE 455 0000-322 1000 0 $55.00
STATE DBPR SURCHARGE 455-MM-208 07W 0 $2.w
STATE DCA SURCHARGE 455 MM208 0600 0 $2.00
issued Date:4/19/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMITNUMBER
ACRS19-0127
j PERMIT ISSUED:4/19/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/16/2019
issued Date:4/19/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
NO Scofinalic Rd Atlantic Basch.FL 32213
Ph(904)247-3826 Fait")247-M43
Ja*0MCFV,4LVES REOMM
—Al Handling Equipment Only _ZAir Handling Unit&Condenser —Condenser Only
NEW AIR CONDMOININC&HEATINGSYSTEM INSTALLATION
Alr!Conslidmung Unit Quantity loosp.ruout
H Unit B[tJ'%Pe,(Jnit qeerltisfin
13Z*Sy.�: 1*ota,`�C�� — &RJtQU1*Eb
REP AIR CONDITIONING& BEATING SYSIT-M INSTALLATION
Unit Quantit) - � Tom Pa Unit
t1nuQuisaity— RTU'sPcrUM, -7rTc--1
Dw Symons, Tow(IFNI REQUIRED
FIRE PREVEN rioN
timsptinklersysme Quarial, (RN.is,3.e6.fp1a.)
tim5usidpipa Quanlit) (Requim,3 Sets.(Plik")
UrAerg,otursi Fift Min. Value (Requim 3 but plaws)
Fi,t1lu,eC.has,1, Quwrail� Requim,3 sets.(plans)
C.wutt�nal 1I.A, Qww,615 iRoquire.3 but plans)
rim suprmsam S�,s�s Owntiq (Rquim,3 ans of plans)
FW PLACES MISCELLANEOUS:
Prewmicoad Fireplace Qw— Automobile Lifts
Gas Pipiug Outlets 8011"s tinn,
ALL OI'HF.R GAS PIPING Hen Exchangm
Quaafily of Outlets Pumps
4 Vented Wall turnitc. Rthigersio,Coadcosor
0, Water Haucts Solo,colicotion sy,,tem
I ank,Wlii.$)
Wells
OTHER.-
..,"pupesdol..busdamud fi� asaft I t-*Y-0
be aw 71 �uss,t*-�.m
P.pent Osman,Name: r ph'Nitask, IN Y,7 -,kS]-
Mecivin"Comp.Y.-Oc, 1j,j ____pmm Haut,
Co Add�,
A,
TA..w Holder(M.0; -I& Staw 4 1,ko itfV
20 If
u"A"KH" siowin......I
Cash Register Receipt Receipt Number
19 City of Atlantic Beach R8789
DESCRIPTION ACCOUNT 7Q-Tyl PAID
PernnitTRAK $107.00
1
ACRS19-0127 Address: 251 S NAUTICAL BLVD APN: 170703 0376 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455 3 -10 0 $55.00
AC AND REFRIGERATION 5Z�321210OLD �31 $24.00
FURNACESAND HEATING 455-0000-322-1000 35200 1 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 1 $2.00
STATE DCA SURCHARGE I 455-OOOD-208-06M 1 0 1 $7 no
TOTAL FEES PAID BY RECEIPT: R8789 $107.00
Date Paid: Friday, April 19, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 6
Printed:Friday,April 19,2019 11:39 AM 10F1