1089 Jasmine St ACRS19-0159 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0159
o ISSUED: 5/7/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/3/2019
ALL WORK MUST CONFORM • • r • . • � .
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
at may be found in the public records of this county,and there may be additional permits required from other
vernmental entities such as water management districts,state agencies,or federal agencies.
MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2 TON $3351.00
1089 JASMINE ST HVAC
SUBDIVISION:TYPE OF REALESTATE BUILDING USE
CONSTRUCTION:
• 170990 0050 ATLANTIC BEACH SEC H
Elite AC, LLC 6060 Chester Circle JACKSONVILLE FL 32217
• . rr •
MANTOVANI FRANCOISE 1089JASMINE ST ATLANTIC BEACH FL 32233-1816
ET AL
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 -71.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
2 516.00
AC AND REFRIGERATION 455-0000-333-1000
FURNACES AND HEATING 455-0000-323-1000
332M $3400
MECHANICAL BASE FEE
455.0000322-1000 0 $55.00
$2�
STATE DBPR SURCHARGE 455-0000-20B-0700 0
STATE DCA SURCHARGE
455-0000-208-0600 0 $��
Issued Date:5/7/2019
l of
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0159
PERMIT ISSUED: 5/7/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/3/2019
TOTAL.$99A0
Issued Date:5/7/2019 2 of 2
—ALL NfORMATION
Mechanical Permit Application H UGHTMNd
Gty of Atlantic Beach Building Department GRAY Is RFquRRL
goo Seminole Rd,Atlantic Beach,FL 32233 C�S /- S9
Phone:(904) 247-5826 Email. .,::. ':rr N�'t =h.._s PDr.ehxr !
108 ADDRESS:
1089 Jesnine Shed-Atlantic Rewh,FL 32233 pRQ1ECT VALUE$3,351,30
❑NEW AIR CONDITIONING&NEATING SYSTEM UMAUATHM ARI J(REQUIRED)
❑Air Handling Equipment Only ❑Condenser Only ❑Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
pREpIACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI t(REQURtED) 199 50:55 . .
❑Air Handling Equipment Only ❑Condenser Only El Air Handling Unit&Condenser
2p
Air Conditioning: Unit Quantity n Tons per Unit 14
Heat: Unit Quantity t BTU's Per Unit a'�aW Seer Rating fREQUIREDJ
Duct Systems: Total CFM
❑RRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fre 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 pWns)
QRRE PLACES ❑MtsCFttANEOUS:
Prefabricated Fireplace(Qty)_ Automobile Ufts
Gas Piping Outlets Boilers BTUs
Elev itors/Escalatas
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of outlets Pumps
N Vented Wall Furnaces _ Refrigerator Condenser BTUs
N Water Heaters Solar Collection Systems
Tanks(gallons)
Welts
' \40341 AH' W2U �S 14
poTTfER: ��RC C`.ngnnt- CUk � esffl�� c
Permit bear w void if Wok does not cammerre wifiin a sol month pwad or Yak"s suspended ar abandoned far s'w monthm i hereby
,erdwmk wtli be compfr w th wh~sped5W-"aL The Pmnit aces rmtgive authorftyp sof p",xsofanott.suteh
Wal IaW regWarm ominrrban or the ptrformance of aDrMUChUn.
Owner Nance:Fraoaise Maalovenf Phone Number. tpr-2fo'�T8
Merhanial Company:E1aa Ac tLL
Office Phone:90a�11 Fan
Co.Address:W80 Ctw•ar�a /Ch's �adoar.ir State:F Zip:=1
License Holder.RaOart GfarN mss/ .bfG]tMRr/t�ifra—tion/RegistrationY CACfeta653
Notarized Signature ofUmne 110MV /-
The foregoing m meat was acknowledged before me this(1)�dppr of�201 in the State of Florida,
County of�Y O 1 K Imre of Notary Public ;7AL Mid _
ANNA N. WILLIAMS ly Maw OR l l Ptadaced Identification
)XIt,(.7Mi��
of . SCM joy
Ferna Tel
`6.L;xn Cvewntien Mrnbefla N]}t TYDI Of identiROliWr: �aWAta
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Cash Register Receipt Receipt Number
City of Atlantic Beach R8969
- xv
DESCRIPTION
PermitTRAK $99.00
ACRS19-0159 Address: 1089 JASMINE ST APN: 1709900050 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-100D 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-300D 23200 $24.00
STATE SURCHARGES .00
STATE DBPR SURCHARGE 455-0000-208-07000 $2.00
STATE DCA SU RCHARGE 455-0000-208-0600 0 $2.D0
TOTAL • ••
Date Paid:Tuesday, May 07,2019
Paid By: Elite AC, LLC
Cashier: CT
Pay Method: CREDIT CARD 042011
Printed:Tuesday,May 07,201911:21 AM 1 Of 1