72 17th St ACRS19-0201 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
�S S,
PERMIT ACRS19-0201
ISSUED: 6/11/2019
CITY OF ATLANTIC BEACH EXPIRES: 12/8/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF • 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 as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
MECHANICAL RESIDENTIAL
72 17TH ST HVAC HVAC- 1 AHU, 60,000 BTU'S $2335.00
TYPE OF
• • GROUP:
169584 0020 OCEAN GROVE UNIT 01
ADDRESS:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207
LLC
• ADDRESS:
TU HONG PO BOX 2899 DURHAM NC 27715
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 • •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $87.00
Issued Date: 6/11/2019 1 of 2
* INFORMATION
Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
A' 2 800 Seminole Rd, Atlantic Beach, FL 32233 .2S0Z01
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 72 17th St Atlantic Beach FI 32233 PROJECT VALUE $2,235.00
F7NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
D Air Handling Equipment Only D Condenser Only D Air Handling Unit& Condenser
Air Conditioning; Unit Quantity _ Tons�per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑✓ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9162972
El Air Handling Equipment Only D Condenser Only [3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity 1 BTU's Per Unit 60.000 Seer Rating (REQUIRED) 14.00
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 []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
F-JOTHER:
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:TU HONG Phone Number: (317)668-6445
Mechanical Company: AVALON HEATING AND AIR Office Phone: (904)245-1818 Fax
y: JACKSONVILLE State: FL Zip: 32207
Co. Address: 3665 SPRING PARK RD Cit
License Holder: TIM ISPARYAN State Certification/Registration# CMC1249968
Notarized Signature of License Holder
The foregoing instrume t was acknowledged before me this PL�ay of 204ck e State of Florida,
County of v
Signature of Notary Public_rt—
?o'cr pj, Notary Public State of Florida [ ] Personally Known OR ro cell Identification
Karen Selger
My commission FF 228256 Type of Identification:
°?rF�r o�A Expires 0(3/1712019 Updated 10/9/18
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