1900 Seminole Rd ACRS19-0171 Mini Split MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
F
ACRS19-0171
PERMITISSUED: S/13/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/9/2019
INSPECTIONMUST CALL • 14FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM . THE CURRENT 6TH EDITIONt
CODE, OF •DOF 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,or federal agencies.
• . ADDRESS: • • OF • •
1900 SEMINOLE RD M ECHANICAL RESIDENTIAL MINI SPLIT-2 TON $4500.00
HVAC
TYPE OF • BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169527 0010 SECTION LAND
COMPANY: ADDRESS:
WOOTEN DANIEL 1900 SEMINOLE RD ATLANTIC BEACH FL 32233
MATTHEW
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
=AC
SCRIPTION ACCOUNT QUANTITY PAID AMOUNT
EBASEN 455-0000-322-TOM 2 $16.00
NG 4550000-322-1000 27000 $24.00
E 455-0000-322-1000 0 $55.00
GE 455-0000-208-07M 0 52'06E 455-0000208-0600 0 $300
TOTAL:$99.00
Issued Date: 5/13/2019 1 of 2
INFORMATIONMechanical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT a: ( P\S 19 -017
JOB ADDRESS: 1900 Seminole Rd.,Atlantic Beach,FL 32233 PROJECT VALUE$4.51)(1
Q NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 2020070ea
O Air Handling Equipment Only Cl Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.0
Heat: Unit Quantity t BTUs per Unit n,,00 Seer Rating(REQUIRED) 22.00
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDnnONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
I]Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
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 r7 MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
If 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:Daniel Wooten Phone Number. OS4219-se01
Mechanical Company: wA Office Phone: Fax
C"
Co.Address: � City: State:_Zip:
License Holder: 7I� /]^ INS State Certification/Registration k
Notarized Signature of License Holder 2 �
The forego' ti ument w acknowledged before me this ypa f �n the ate of Florida,
county of
Signature tary Public
R
=- 31'
..,p Personalty Known OR[ ]Produced Identification
c +9 -ype of Identi#cation:
lr,..� Upderxd 10/9119