36 Dudley St ACRS19-0129 HVAC MECHANICAL RESIDENTIAL HVAC PERMITNUMBER
ACRS19-0129
PERMIT ISSUED:4/22/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/19/2019
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,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
M ECHANICAL RESIDENTIAL HVAC- I A/C, 1 AHU, 2.5 $5266.00
36 DUDLEY ST HVAC TON
TYPE OF REALESTATE ZONING: BUILDING USE
SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
17220SO000 DONNERS R/P
COMPANY: ADDRESS: CITY: STATE: ZIP:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207
U-C
OWNER: ADDRESS: CITY: STATE: ZIP:
MKS HOMES INC. 14092 SUMMER BREEZE DR JACKSONVILLE FL 32218
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�0000 322-1000 2.5 $16.00
FURNACESAND HEATING 455 MW-322 1000 30000 SZ4.00
MECHANICAL BASE FEE 455-MO-322 1000 0 $55.W
STATE DEER SURCHARGE 455-0000�209 0700 0 $Z.W
STATE DCA SURCHARGE 455,000&208-0600 0 $2�co
Issued Date:4/22/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0129
PERMIT ISSUED: 4/22/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/19/2019
F TOTAL:$99.00
Issued Date:4/22/2019 2 of 2
V
-v2r,, Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-DeptFoDcoatims PERMIT#:
JOB ADDRESS: 36 DUDLEY ST ATLANTIC BEACH FIL 32233
PROJECT VALUE$8,266.00
F-1 NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only [3 Condenser Only 0 Air Handling Unit A Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs filer Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
EIREPLACEMENT AIR CONDrrIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 79i
E3 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2A —
Heat: Unit Quantity 1 BTU's Per Unit 30-000 Seer Rating(REQUIRED) 14.00
Duct Systems: Total CFM 1,00
[:]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)
F7FIRE PLACES rj MISCELLANEOUS:
Prefabricated Fireplace(Qty)_ Automobile Lifts
Gas Piping Outlets Boilers — BTUS
Elevators/Escalators
MALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
wells
MOTHER:
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 compiled 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:MKS HOMES INC Phone Number: (904)515-2005
Mechanical Company: AVALON HEATING AND AIR Office Phone: (904)246-1818 Fax—
Co.Address: M65 SPRING PARK RD City: JACKSONVILLE State! FIL Zip 32207
License Holder: TIM ISPARYAN State Certification/Registration 4 CNIC1249968
Notarized Signature of License Holder
The foregoin instrum nt was acknowledged before me this Ajifay of ate of Florida,
Countyof �)kki.ICL=
Signature of Notary Public
0
—KpPubIkS�0FWrkW I Personally Known OR[�Procluc;dlldentificaflon
aren Saii Type of Identification:
My Com�FF 2282M
�-06117401. UPARx`1019118
YE I
Cash Register Receipt Receipt Number
City of Atlantic Beach R8792
ACCOUNT CITY PAID
DESCRIPTION
Perni $99.00
ACRS19-0129 Address: 36 DUDLEY ST APN: 172205 0000 $99.00
MECHANICAL $95.00
MECHANICALBASE FEE
'�22W 11�'11 $55DO
....�3
AC AND REFRIGERATION .. 000 3 $16.00
FURNACES AND HEATING 1 455 0000 322-10 J$24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 2'-0700 0 1 $2 OWO
STATE DCA SURCHARGE M 0� $ 00
"Z
:IZO 2 2
TOTAL FEES PAID BY RECEIPT: R8792 $99.00
Date Paid: Monday,April 22, 2019
Paid By:AVALON HEATING AND AIR LLC
Cashier:CT
Pay Method:CREDIT CARD 05362J
Printed:Monday,April 22,2019 8:58 AM 1 of I