1596 Maritime Oak Dr ACRS19-0177 New Home HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0177
PERMIT ISSUED: 5/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/17/2019
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, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
F-----onto the requirements of this permit,there may be addition
NOTICE-lln ocidt,on to al restrictions applicable to this property
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that may be found�,n the public records of this county,and there may be additional permits re quired from other
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governmental entities such as water management districts,state agencies,or federal agencies
MECHANICAL RESIDENTIAL NEW SINGLE FAMILY $6800.00
1596 MARITIME OAK DR HVAC RESIDENCE
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
1695051975 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCGOWAN'S HEATING & 11320 Phillips Parkway Drive East Jacksonville FIL 32256
AIR CONDITIONING
ZIP:
OWNER: ADDRESS: CITY: STATE I —
JACKSONVILLE FL 32250-6747
ZALUPSKI CHRISTOPHER E 275 IST ST S BEACH
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.
I —
FEES
DESCRIPTIOT— �%CCLIUNI QUANTITY
Al AND—11MUMT cN � S I�:� � �� �I�: $4800
AIR DUCT SYSTEM 455-000U-3Li 1WU 24M
FURNACES AND HEATING 455-0000 322 1000 72"
Issued Date: 5/21/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERW NUMBER
ACRS19-0177
PERMIT ISSUED: 5/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/17/2019
455�3224M
M�ET HZIME"E 0
C 0 $2.39
STATE DBPR IURC.MIGE 455�208�700 $2m
issued Date: 5/21/2019 2 of 2
**AU.IN ATION
Mechanical Permit Application HISHL=D IN
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 PERMITM jkw lIq_0
JOBADDRIESS: tqq�p Nari-Em-e OOV PROJECT VALUE Ska�
EW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) -1Z!0Z9W [
[3 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit&Condenser
AirConditioning: Unit Quantity Tons per unit
Heat: Unit Quantity Errus per Unit-2AU seer Rating(REQUIRED) 1(D
Duct Systems: Total CFM ZILW�0
OREPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARl8(REOU1RE0)-
[3 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
EIFIRE 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 How Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
F-JFIRE PLACES F-1 MISCELLANEOUS:
Prefabricated Fireplace [Qty) Automobile Lifts
Gas Piping Oudets Sollers -- BTUs
ElevatonZ/Escalators
[:]ALL OTHER GAS PIPING Heat Exchanger
Quantity at Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#yNater Heaters Solar Collection Systems
Tanks(gallons)
Wells
MOTHER:
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 comect. All provisions of lam and ordinances governing this
workwill 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: 1>,fum Rryirr�, I I T1, Phone Number:
Mechanical Company: MQ tn=!s 4"lArc ffici, Phone:AUL2anWu--
Co.Address: il.32b LvAiCvs pvm city: .\0(INMVf U? State J�Vip: 3
license Holder, -Fhnff)a& Vf-DuLa— State Certificati../R.91watkan P
v
Notarized Signature of Liceme Holder
The fare before methls�,�daycff T�� 20.t9 in the State of Florida,
,.Vn,,,ns,rume.ntwas,acknmledged L
Cou V 0 1 Signature of Notary Public 'A lip
[ ]Personally Known OR I I Produced IdeiTcan
Wy;0=MMI LI;=O:N N F%GG2292515 Type of Identification:
MMI
CM apdakdi"118
'dw
V:-=MEXPIRE
Cash Register Receipt Receipt Number
City of Atlantic Beach R9101
DESCRIPTION �tillil=
PermitTRAK $163.39
ACRS19-0177 Address: 1596 MARITIME OAK DR APN: 169505 1975 $163.397
MECHANICAL $159.00
MECHANICAL BASE FEE 455-000&322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 1 6 $48.00
FURNACES AND HEATING LsS:LOLO-21 � 000 2000 $28.130
AIR DUCT SYSTEM 'Wo 2,00 $28.00
STATE SURCHARGES $4.39
STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $2.39
STATE DCA SURCHARGE 455-0000-208-06 1 0 1 $2.00
TOTAL FEES PAID BY RECEIPT: R9101 $163.39
Date Paid:Tuesday, May 21, 2019
Paid By: MCGOWAN'S HEATING &AIR CONDITIONING
Cashier:CB
Pay Method: CREDIT CARD 1
Printed:Tuesday,May 21,2019 9:37 AM I of I It