2069 Beach Ave ACRS19-0176 Replacement MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0176
PERMIT ISSUED: 5/17/2019
CITY OF AT LANTIC B EACH EXPIRES: 11/13/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. i
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, 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
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such aswater management districts,state agencies,or federal agencies.
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2069 BEACH AVE MECHANICAL RESIDENTIAL replace 1-ton 12K-BTU AHU $4628.00
FIVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROU I P:
NORTH ATLANTIC BCH
1697180000 UNIT3
COMPANY: ADDRESS: CITY: STATE: ZIP:
SERVICE EXPERTS HEATING 8475 WESTERN WAY STE 100 JACKSONVILLE FL 32256
&AIRCONDITIONI
— OWNER: ADDRESS: CITY: STATE: ZIP:
FERGUSON LEE A TRUST 2069 BEACH AVE ATLANTIC BEACH FL 32233-5934
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 RAW ARRV..
'Ce.
AC AND REFRIGERATION 455 WOO 322-10o) 1
FURNACES AND HEATING 45S- -322-1000 12WO $24DO
GOOD
0
MECHANICAL BASE FEE 455 WO 2 -1-0 0 $55DO
G a U
STATE Dam SURCHARGE 4 5 OW 20 -071 0 $2.00
Issued Date: 5/17/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0176
PERMIT ISSUED: S/17/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/13/2019
STATE�SUR�ARGE 455�20� 0 $2.00
TOTAL:$91.00
issued Date:5/17/2019 2 of 2
Cash Register Receipt Receipt Number
City of Atlantic Beach R9072
DESCRIPTION ACCOUNT �:r_lllbm
PermitTRAK $91.00
ACRS19-0176 Address:2069 BEACH AVE APN: 169718 0000 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000 322-1000 $55.00
AC AND REFRIGERATION 455-OOOD-3 Eli
FURNACESAND HEATING 45S-OOOG-322-1000 12000 $24,00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE -0000 2
STATE DCA SURCHARGE :�5�110OZ08-
TOTAL FEES PAID BY RECEIPT: R9072 $91.00
Date Paid: Friday, May 17, 2019
Paid By:SERVICE EXPERTS HEATING &AIR CONDITICINI
Cashier:CB
Pay Method: CREDIT CARD 2
Printed:Friday,May 17,2019 8:35 AM 1 Of 1
Vay/16/20i9 4�25:34 PM Service Experts 9046460137 2/2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,Fl,32233
Ph(904)247-5826 Fax(904)247-5845
FOB ADDRiss: BeA�-_ At y e PERMrr# AV V-1S1'1 L)Ii,10
PROJECTVALUE $—. q4o?,? AFJ# VY3Z_PXQ1)ZRED
__.Air Handling Equipment Only _±::�kir Handling Unit & Condenser —Condenser
NEW AIR CONDITIONING & HEATING SYSTEM)NSTALLATION
Air Conditioning: Unit Quantity— Tons Per Unit —
Heat: UnitQuarnity— BTU'sPerUnit Seer Rating
Duct Systems: Total CFM Xkj_2U1AED
REPLACEMENT AIR CONDITIONING &I]EATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit I
Heat: UnitQuamity I BTU's Per Unit h 0,0 Seer Rating
Duct System: Total CFM
FIORE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of p)
,Fire Standpipe uantity (Requires 3 sets of pl:::j
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 Quaritity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS;
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers —
ElevatomScalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER;
�errrdt becomes Void if work does not comments within a six month period or work Is suspended or abandoned for six months.I hereby cartify that I hue need
is application and know the sama to be true and correct All provisions of laws and ordinances governing this work will be cumplied with whether specifled or
)t The permit,does not give authority to violate the provisions of my other state or local laiv regulation wnstructlon or the performance of construction.
Property Owners Name L,-,C: Fie,& 9 u :�at,2 —Phone Number V9- iq I
Mechanical Company Service Expasrts____________Off1cc Phone 271-21 8ZFax_
Co.Address: 8475 Western Way Suite 100 City Jacksony Ile State Fl Zip 32256
License Holder(Print): Carey Zarm, State Certific cilistration#CAC 19 1 7129_
�—, _,4
Nvitarized Signature of License Holdrer 21
n __ leth's—dZdayof Yr/� v
CMA.
i::of N' otazy Public
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