53 Lewis St ACRS19-0188 HVAC MECHANICAL RESIDENTIAL HVAC PERMITNUMBER
ACRS19-0188
PERMIT
:3 ISSUED: 5/31/2019
CITY OF ATLANTIC BEACH EXPIRES: 11/27/2019
INSPECTIONMUST CALL • (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT ISTH EDITIONr OF . • D. BUILDING
CONDITIONSCODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL
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 • •
53 LEWIS ST MECHANICAL RESIDENTIAL HVAC- IA/C, 1AHU, 3TON $2780.00
HVAC
TYPE OF SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP: ,
1722110000 DONNERS R/P
ADDRESS:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207
LLC
• ADDRESS:
WONG HENRY C 109 PARKVIEW DR ALEDO TX 76008
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
DESCRIPTION REACCOUNT QUANTITY PAID AMOUNT
AC AND FRIGERATION 4550000-322-1000 3 $24'00
FURNACES AND HEATING 455-0000-322-1000 360M $24.00
MECHANICAL BASE FEE 655-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 6550006206-0)00 0 $2'm
STATE DCA SURCHARGE 455-0000-208-0600 0 $300
Issued Date:5/31/2019 1 of 2
INFORMATION
Mechanical Permit Applkamn HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY Is REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT a:
JOB ADDRESS:53 Lewis St ATLANTIC BEACH FLORIDA 32233 PROJECT VALUE$Z7e0.00
❑NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI p(REQUIRED)
13 Air Handling Equipment Only C3,pndenser Only [3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tods per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑✓ REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)7965253
O Air Handling Equipment Only Cl Condenser Only m Air Handling Unit&Condenser
Air Conditioning: Unit Quantity t Tons per Unit 3.0
Heat: Unit Quantity 1 BTU's Per Unit 36,00D Seer Rating(REQUIRED) 1e.o6
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)
r-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
11 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 l have read this applicatlon 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 Name4WQfibNG
+h<v. Phone Number: 87.77-^
Mechanical Company: AVALGN HEAIINtl ANO Nft -A Office Phone:l@441.�fBt�Fax
Co.Address:M65 SPRINNG PARK City:IRRState:-Zip:
License Holder: TIM ISPARYAN< State Certification/Registration#
Notarized Signature of License Holder n
The foregoingas acknowledged before me this y of , 1� 20111 inthe State of Florida,County instrume w
of — v
Signature of Notary Public
,�yrJngT. HwnPaOYc samnvadm .(
Type L
I Personally Known OR prProduced ldentIdentificationtion
c Kam^Sagar T e of Identification: N
q MY Cdnmiuien FF 339253 IlpCureE10/9/I6
qe,5 Q�q�p O811i1P18
� r
Cash Register Receipt Receipt Number
rL�'
City of Atlantic Beach R9195
DESCRIPTION ACCOUNT
PermitTRAK $107.00
ACRS19-0188 Address: 53 LEWIS ST APN: 1722110000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-3000 0 $55.00
AC ANDRE FRIG E RATION 455-0000-322-1000 3 $2400
FURNACESAND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $OAO
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL • $107.00
Date Paid: Friday, May 31, 2019
Paid By:AVALON HEATING AND AIR LLC
Cashier:CT
Pay Method:CREDIT CARD 047971
Printed:Friday,May 31,201912:17 PM 1 of 1