880 Beach Ave ACRS19-0165 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0165
ISSUED:
CITY OF ATLANTIC BEACH EXPIRES:
PHONEMUST CALL INSPECTION 1 FOR NEXT DAY INSPECTION.
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS
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,or federal agencies.
JOB ADDRESS: r • OF • •
880 BEACH AVE MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3 TON $5280.00
HVAC
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
170320 0000 CLUB MANOR
COMPANY: ADDRESS:
ADVANCED COMFORT
SERVICES INC 12627 SAN JOSE BOULEVARD, 4706 JACKSONVILLE FL 32223
• ADDRESS:
HINES ROBERT D 880 BEACH AVE ATLANTIC BEACH FL 32233-5416
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 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-3221000 0 $5500
STATE DERR SURCHARGE 455-0000-208-0900 0 $2.00
STATE DCA SURCHARGE 455-0000.208-0600 0 $2.00
Issued Date: 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
° PERMIT ACRS19-0165
„L ISSUED:
CITY OF ATLANTIC BEACH EXPIRES:
--- ---------
TOTAL:$107A0
Issued Dale:
2 oft
ALL
" INFORMATIONMechanical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 c
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:T l �S( { O ((
JOB ADDRESS: 880 Beach Ave-Atlantic Beach,FL 32233 PROJECT VALUE$5,260.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
E7 Air Handling Equipment Only E3 Condenser Only D Air Handling Unit& Condenser
Air Conditioning: Unit QuantityTons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑� REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only 0 Condenser Only m Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.0
Heat: Unit Quantity 1 BTU's Per Unit 36,000 Seer Rating(REQUIRED) 1425
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 Bailers 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:Bob Hines Phone Number: (904)ee6-3299
Mechanical Company: mvencedcuoaoeservmaJ- Office Phone: (004)26e-5759 Fax
Co.Address: t26x73an Jaee eM.sTE70a city: Jaasonm0a State: FL Zip: 32M
License Holder: Daniel Booker State Certification/Registration If cAc057606
Notarized Signature of License Holder
Theforegoi instrument as acknowledged before me this day f in th State of Florida,
County of 0.
Signature of Notary Public !!��
ER [ ] Personally Known 0R.[ s duced Identification .- (Oz —
•£[A� sst o denuficauon� Z � -
kf<' �, —� 'i4k „tr UPdoW 10/9/18
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