2340 Beachcomber Tr ACRS19-0187 Replacement MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
"'_� PERMIT ACRS39-0187
ISSUED: 5/31/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/27/2019
INSPECTIONMUST CALL • r• FOR NEXT DAY INSPECTION.
ALL CONDITIONS OF PERMITAPPLY, 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.
JOB ADDRESS: PERMITTYPE; DESCRIPTION: VALUE OF WORK:
2340 BEACHCOMBER TR MECHANICAL RESIDENTIAL replace 2.5-ton 30K-BTU $4610.00
HVAC AHU
TYPE • BUILDING
• SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0076 OCEANWALK UNIT 01
COMPANY: ADDRESS:
AlA HEAT&AIR 38833RD AVE JACKSONVILLE FL 32250
BEACH
• ADDRESS:
WINTER LANCE M 2340 BEACHCOMBER TEL JACKSONVILLE FL 32233-6607
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 455w0000d22-1000 2.5 $16.00
FURNACES AND HEATING DS-OD00A22-1000 30OW $2400
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE OBER SURCHARGE 455-000'0-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:5/31/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0187
" ISSUED:5/31/2019
f n CITY OF ATLANTIC BEACH EXPIRES: 11/27/2019
TOTAL:$99.00
Issued Date:5/31/2019 2 of 2
"ALL ON
Mechanical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT
JOB ADDRESS: Z3(4O W'<)C C QI' C4' n T IPO1 , PROJECT VALUE$ Lk-(.\C -
F-1 NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED)1 QZL{-16 Cf-!! S
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit ' Seer Rating(REQUIRED)
Duct Systems: Total CFM
OREPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only XAir Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit 121's
_ 1
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)k p____
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)
F-1 FIRE PLACES ❑ 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:P_RNCF ININT>`'VL Phone Number:algs+.- 5aCf�.
Mechanical Company: Alb MF3'tT A tmy Office Phone:QOt}$OA 2' ` Fax
Co.Address:` 9S ' 'M city: '1M 0*-l`QA state:EL Zip: �
License Holder: L State Certification/Registration# LRC \$1 an75
Notarized Signa re ofLi - - ' 0-`,
The foregoinginstrument was acknowledged efore me this 31 day of kl•2D}�in the State of Florida,
County of ncAj^I t(L1)1 /'IL'"-
1\ �
Signature of Notary Public
�� // t
XNA
JENNIFER JOHNS TON [ ] personally Known OR[tyrroduce Identific`tion
MYcoMMISSION#GGmzEXPIRES:av rn,mso Type of Identification: �Lanktl TNo Notary PubllcUMII M U08aKtl