1 Fleet Landing Blvd MCAC19-0009 HVAC permit � p MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
DETAILS PER BUILDING PLANS MCAC19-0009
ISSUED: 5/21/2019
.� ,• PERMIT EXPIRES: 11/17/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION • OF • • rA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF , D
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 • •
MECHANICAL COMMERCIAL
1 FLEET LANDING BLVD HVAC DETAILS PER BUILDING Install 10-ton, 30-ton, mini- $148955.00
PLANS split, & two 12.5-ton AHUs
TYPE OF r
ZONING: : r •
• • GROUP:
169397 0200 SECTION LAND
COMPANY: err •
Armstrong Air Condition &
Heating of CFL 671 Business Park Blvd #104 Winter Garden FL 34787-5700
_�ell'ili 0 14 � ADDRESS: CITY: STATE: zip:
NAVAL CONTINUING CARE
RETIREMENT 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233-4599
FOUNDATION INC
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 • r i
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 65 $220.00
AIR DUCT SYSTEM 455-0000-322-1000 6203 $60.00
Issued Date: 5/21/2019 1 of 2
MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
r _� DETAILS PER BUILDING PLANS ISSUED: 5/21/2nncac5/21/2 1
019
PERMIT EXPIRES: 11/17/2019
FURNACES AND HEATING 455-0000-322-1000 251500 $0.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $5.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.35
TOTAL:$343.38
Issued Date:5/21/2019 2 of 2
Mechanical Permit Application 'ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 MC Al lq - OCO�
Phone: (904) 247-5826 Email: Build ing-Dept@coab.us PERMIT#: CarnmIy-00)(0
JOB ADDRESS: t Fleet Landing BV PROJECT VALUE $ T57. W'
❑✓ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Onl ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 5 Tons per Unit /o b
Heat: Unit Quantity 5 BTUs per Unit / 131 Seer Rating (REQUIRED)
Duct Systems: Total CFM 03 K
E]REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑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 F7 MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers 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:hyal Continuing Care Retirement Foundation � Phone Number:
Mechanical Company:AWwong Air&Heating Office Phone: ► Fax(401)871-8419
Co. Address:'671 Business Park Blvd. City:�,. State: FL. Zip: 34787
License Holder: Paul L. Richards S reer=tifi4ation/Registration# CAC057235
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this ( 51 day of J � 20� in the State of Florida,
County of O iC(a J�
Signature of Notary Public
Notary Public State of Flon rsonally Known OR [ ] Produced Identification
:P Lisa Lynn Porter �yp of Identification:
Commission 1F,1B
5
or Expires
pires 03/13/2p2222 Updated 10/9/18
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sr
Cash Register Receipt Receipt Number
J �
City of Atlantic Beach • '
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $343.38
MCAC19-0009 Address: 1 FLEET LANDING BLVD APN: 169397 0200 $343.38
MECHANICAL $335.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 65 $220.00
AIR DU CT SYSTEM 455-0000-322-1000 6203 $60.00
STATE SURCHARGES $8.38
STATE DBPR SURCHARGE 455-0000-208-0700 0 1 $5.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.35
• R9105 $343.38
Date Paid: Tuesday, May 21, 2019
Paid By: Armstrong Air Condition & Heating of CFL
Cashier: CB
Pay Method: CREDIT CARD 113253
Printed:Tuesday, May 21,2019 11:33 AM 1 of 1