1550 Beach Ave ACRS19-0150 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0150
ISSUED: 5/3/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/30/2019
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 BUILDI
CODE, NEC, IPIMC, 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: VALUEOFWORK:
1550 BEACH AVE MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, .5 TON $3500.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1718720000 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
ENVIRONMENTAL AIR 8110 CYPRESS PLAZA DR STE 106 JACKSONVILLE FL 32256
SERVICES,INC
OWNER: ADDRESS: CITY: STATE: ZIP:
IBACH MICHAEL 1550 BEACH AVE 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 on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455 MO-322 1000 US MET
FURNACESAND HEATING 455-MO-322 IDA) S2400
MECHANICAL BASE FEE 455 0000-322-1000 0 S55�00
STATE DBPR SURCHARGE 455 0000,208-0700 0 SDOO
STATE DCA SURCHARGE 455-0000 208-0600 0 S2.00
Issued Date:51312019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0150
PERMIT
ISSUED: 5/3/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/30/2019
Issued Date:S/3/2019 2 of 2
'*ALL INFORMATION
0 Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 (\(� rl��� 9 - 0 1 S 0
Phone: (904) 247-5826 Email: Build i ng-Dept(Elcoalb.us PERMITM ?eS Olt— oc`3a
JOB ADDRESS: IS50 P-Pcci, AW— PROJECT VALUE
�ZLNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
[3 Air Handling Equipment Only C3 Condenser Only Lo Air Handling Unit&Condenser
Air Conditioning; Unit Quantity Tons per Unit 9.12 (�0009744-
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM neo
0 REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARIVREQUIRERl-
[3 Air Handling Equipment Only C!Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity_ Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
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)
F-JFIRE PLACES MMISCELLANEOUS:
Prefabricated Fireplace(Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators scalators
MALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
III Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
r-JOTHEIR:
Permit becomes void if work does not commence witifn a six month period or work is suspended or abandoned for 51X months. I hereby
certify that I have read this application and know the same to be true and correct. Al I provisions of laws and ordinances governing this
work will be complied with whether specified or not. The permit does not give a uthority to violate the provisions of any other state or
local law regulation construction or the performance of construction.
OwnerName: Phone Number:
Mechanical Company: SIXOLT-oo mt��m�K— �11K,,Vffice Zpho.e: Fax
Co.Address: ty: :TA Y. State:f'L Zip:_3
3�
License Holder: te ertification/Registration# 09
Notarized Signature ofLicense Holder
The forego g stru en was acknowledge befor me this 1 n the State of Florida,
County of tx:a Signa real otaryPublic
$FF VASS,
1,2019 Personally Known OR[ I Produced Identification
Type of Identification: Upd.WI019138