443 Selva Lakes Cir ACRS19-0155 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0155
» ISSUED: 5/6/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/2/2019
ALL all 91
WORK'MUST •CONFORM • • • 1 • • ' • 1
CODE, NEC, IPIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FT
ICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
t may be found in the public records of this county,and there may be additional permits required from other
ernmental entities such as water management districts,state agencies,or federal agencies.
1 1 • • •
MECHANICAL RESIDENTIAL HVAC 1 A/C, 1 AHU,3 TON $4900.00
443 SELVA LAKES CIR HVAC
TYPE • 1SE SUBDIVISION:
•
CONSTRUCTION: NUMBER: GROUP:
1SELVA LAKES
72027 5010
• 11 •
COOLER BEAR HEAT&AIRJACKSONVILLE FL 32250
864 18TH STN
LLC BEACH
OWNER: ADDRESS:
FRIEND ERNEST M 443 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4355
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION
ass-0000.322-1000 3 524.W
FURNACESAND HEATING
455-0000-322-1000 36000 $24,00
$55.00
MECHANICAL BASE FEE
455-0000322-1000 0
STATE DBPRSURCHARGE
455-0000-2080)00 0 $2.00
STATE DCA SURCHARGE
455-0000.208-0600 0 51.00
Issued Date:5/6/2019 1 of
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0155
CITY OF ATLANTIC BEACH ISSUED: 5/6/2019
EXPIRES: 11/2/2019
TOTAL:$107.00
Issued Date:5/6/2019 2 of 2
"ALL INFORMATION
Mechanical Permit ApPlication HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 p CRS (9 - (D SS
Phone: (904) 2475.826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 7 m Ili' � °'u "R PROJECT VALUE$. 42..40
El NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
O Air Handling Equipment Only ci Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
LJREPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 7GAZ37G
D Air Handling Equipment Only O Condenser Only E7 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity i Tons per Unit
Heat: Unit Quantity i BTU's Per Unitromp Seer Rating(REQUIRED) iS'•o
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)
❑FIRE PLACES ❑MISCELLANEOUS:
Prefabricated Fireplace(Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
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 complied 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: T 4 Kc/ Phone Number: 70 7— 7905
Mechanical Company: e; e4 0G1LrA Office Phone: 5twi/9Fax.
Co.Address: &41 /� /i1L• N- City: GZ40 State: FL Zip: 122Sa
License Holder: State rtification/Registration# C*ic OAYW7
Notarized Signature of License Holder II
The forego i I trument as acknowledged before me this da f Ol int tate of Florida,
County of
Signature of Notary Public
, •; i Toll CINotESPEaoE9 ersonally Known OR[ ] Produced Identification
My OOMMISSIONtlFF920.i11
s„ll{i EXPIRES'.Ocloher E,2m9 Type of Identification: unaored to/v/is
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