390 12th St ACRS19-0162 Replace MECHANICAL RESIDENTIAL HVAC PERMITNUMBER
PERMIT ACRS19-0162
ISSUED: 518/2019
CITY OF AT LANTIC B EACH EXPIRES: 11/4/2019
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, IPIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
the requirements of this permit,there may be additional restrictions applicable to this property
:he public records of this county,and there may be additional permits required I
such as water management districts,state agencies,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
390 12TH ST MECHANICAL RESIDENTIAL replace 3.5-ton 42K-BTU $5341.00
HVAC AHU
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1719310000 SELVA MARINA UNIT01
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
BURCHFIELD INEZ M TRUST C/O INEZ BURCHFIELD TRUSTEE ATLANTIC BEACH FL 32233-5514
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 3.5 $24.00
FURNACES AND HEATING 455 0000-322-1000 420M S24.00
MECHANICAL BASE FEE 455 0000 322 1000 0 $55.00
STATE)HPR SURCHARGE 455-0000 208 07M 0 $2.00
STATE OCA SURCHARGE 455-0000 208�0600 0 $2.00
issued Date: S/8/2019 lof2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0162
PERMIT ISSUED: 5/8/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/4/2019
TOTAU$107.00
issued Date:S/8/2019 2 of 2
MECHANICAL Ptmrr APPLICATION
CITY OF ATLANTIC BEACH
800 Scmiack Rd Atlantic lksch,FL 32233
Ph(904)247-5926 Fax(9W)247-5345
.1011 ADDRES& 390 J)" 5t PMMITO
PROJEcr mm s "33� --Am# 91 r75,3 6e �Mvmw
—Air Handling Equipment Only _!!�Airllsssdling Unit&Condenser _CoaodevvicrOnly
NEW AIR CONDITIONING & HEATINiG SYSTEM INSTALLATION
AkCoadition.�g UnnQUAntity TonsParUalt —
Run: Unit Quantily BTU's Ptr Una qccr Rt_%_#U,_1H_D
L)wt Sy%u,ms: total CFM
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INS EALLATION
AirConditionins: UnitQUUWIY i Tons Put Unit 1i
Fast: 11,olQuanurf i BTtrs Per Unit Sccritatuag,
Duct Syvtm: Towl CFM
FIRE PREVENTION
Five Spkk,S.�m Qwaaa) (R.q.i.i�,h or pun,)
Fire Sundpipc Quantity (Rcqwi�� I%ct%of plav�o
(JudcrilmundfirtMam Value
Fm,KOK cabinets Q�fy (Rsq.J�I��"of ph.,)
CQUIRKMew Hood. Q�.Vy (Rvqsd.3�M.fp1.o,1
Fin:Suppression S)�. Quanaity (Requirc,3 ort,of P6-,)
FIREPLACES MISCELLANEOUS:
Pmfubr"W Fimplw Qty— Womobile Uft
C�P�pngoudcis bders
ALL OTHER GAS PIPING bxcbwug�r
01untily af(hideli PUMP,
4 V=,sd Wall F.mam R�11,igmtor ctvivassf WFUIS
I aak�(gallons)
WC11,
OTHER:,
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Cash Register Receipt Receipt Number
11 City of Atlantic Beach R8989
DESCRIPTION ACCOLINT� CITY
PermitTRAK $214.00
ACRS19-0162 Address: 390 12TH ST APN: 1719310000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE �2-1000 1 0 $55.00
C AND REFRIGERATION $24.00
FURNACES AND HEATING 455-0000-322-1000 1 42000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 0222 2 20 2 $2.00
STATE DCA SURCHARGE "_0000�E NZ600 0 $2.00
ACRS19-0163 Address: 129 BEACH AV APN: 170207 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
455-0000-32L-LOOO $24.01)
AC AND REFRIGERATION 2_to�o 3
FURNACES AND HEATING 455-0000-32 36000 $24.00
STATE SURCHARGES $4.00
STATE D8PR SURCHARGE -0700 1 0 1 $2.00
QjLQQjU5QHARGE 455-0000-208
,TOTAL FEES PAID BY RECEIPT: R8989 $214.00
Date Paid: Wednesday, May 08, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method:CREDIT CARD 5
Printed:Wednesday,May 08,2019 11:44 AM 10IF1