39 Forrestal Cir ACRS19-0153 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0153
PERMIT ISSUED: 5/3/2019
CITY OF ATLANTIC BEACH EXPIRES: 10/30/2019
ALL WORK MUST CONFORM i u i mt L"�T-7�0 - P-
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.
MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3 TON $5060.00
39 FORRESTAL CIR HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH VIULA#
1717410000 01
ZIP:
COMPANY: ADDRESS: CITY: STATE:
DONOVAN HEATING &AIR JACKSONVILLE FIL 32250
CONDITIONING 3 15 STH AVENUE SOUTH BEACH
OWNER: ADDRESS: CITY: STATE: ZIP: —
MARVIN CRIS P 39 FORRESTAL CIR N ATLANTIC BEACH FL 3273-3323
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT i�AY 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 PAIDAMOUNT
AC AND REFRIGERATION 455 000-322-1000 3 $24.00
FURNACES AND HEATING 455 0000 322 1000 3000G $24.00
$55.00
MECHANICAL BASE FEE 455 COED 322 1000 0
T '� B,F.R C I D 's CE-209 07M 0
BE 455 CKING
7 STATE DBPRSURGHA7. 77
Issued Date:5/3/2019 1of2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0153
PERMIT ISSUED: 5/3/2019
CITY OF ATLANTI C BEACH EXPIRES: 10/30/2019
MRGE 4SS�-208� 0 —
F--�Tnn-lc TOTAL:$107.00
issued Date,5/3/2019 2 of 2
Wm"icAL PERMIT APPLICATION
CM OF ATLANTic BEACH
SM Seminole Rd Atlantic Beach, Ff.32233
Ph(9W)247-5926 Fax(904)247-5945
JOBAI)I)REss: �-PUICw C-" 1'� _PFRMrr#
pROJECTVALUES C t22 . —REQMFJ)
_Jn60AR1# 10-67
Air Handling Equipment Only
-,,�Air Handling Unit& Condenser Condenser Oniv
NEW AIR COKDITIONING & HEATING SYSTEM INSTALLATION
AirConditioning; UnitQmntitv Tons Per Unit _
Heat: UnitQuantiti— ffl*U*sPc1tjnit— SeerRAti"g-
Ductswacms� Total CFM RFQUIRF,-D
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATIOS
AirCornditioning�. UnilQuantity I Tons Per Unit A
Heat: Unit Quantitj--i— BTU's Per Unit 77r—f Sm Ratinz
Duct SyKtans: Total CFM RFQ1,11RED
FIRE PREVENTION
Fi�Sprin Quantity (Requires 3 met% Of Plans)
kler Svstem (Requirts 3 sets of plaw)
Fire Statridpipe ' Quantity
Undergmund rim Main value (Requires 3 sets of plaus)
Fin:Hosc Cabinets Quantity (Require%3 sets of plAw)
Cotanwacial Hoods Quantity (Recluires 3 acts of Pl8w)
Fire Suppression Systems Quantity (Requires 3 mis Of Films)
FIRE PLACES MISCELLANEOUS:
Prewxicatcd Fireplace QLY Automobile Lifis
Gats Piping Outlets Boilers BTU's
Etcyatont-Escalawn
ALI. OTHER GAS PIPING Heat Excbanger
Quantity of Outlets — Punips
9 Vented Wall Furntiocs — Reffillevator Covews" BTU's
Wala licaters Sol"Collection Systems
fai*s(Fall"ns)
Wells
i OTHER:
nid if.k dt�not wm��khbn A mix amm p;;Tw
dtm All pn�W.-f kwl-d nnfi.uvLc%gM=mVg kho��rk%1E IWWW50d WKh�tMb'PCCiO`j
ProfperLy Owners.Namc Phonc Number la�-�
MechwicalC,ompany—[It�' office Phone
City J� e6.� SUN fL 7ip �5,77 54P
C. Addnm 1: 11 C,0jM,,6mmiRef;W1A11#
Lictase Holder(Print): sate
fjolgrimd Sirval notAer f 14 20 1 9
a
Z--\� ROAR-1.PACIUMs Belbire me this Yo
mml 9 signaturc of Notary Public
Cash Register Receipt Receipt Number
19 City of Atlantic Beach R8945
DESCRI PTION ACCOUNT CITY PAID
PermitTRAK $107.00
ACRS19-0153 Address: 39 FORRESTAL CIR APN: 1717410000 $107.00
MECHANICAL $103.00
MECHANICALBASE FEE 455-0000-322-1000 0 $55.00
ACAND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACESAND HEATING 455-0000-322-1000 30000 $24.00
STATE SUROWNP.,
STATE DBPR SURCHARGE 455.0000-208�700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0
TOTAL FEES PAID BY RECEIPT: R8945 $107.00
Date Paid: Friday, May 03,2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method:CREDIT CARD 003534
Printed:Friday,May 03,2019 3:40 PM I Of I