93 Dudley St ACCRS19-0207 Duplex HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
A� ACRS19-0207
PERMIT ISSUED: 6/17/2019
�. CITY OF ATLANTIC BEACH EXPIRES: 12/14/2019
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 BEACH CODEOF • '
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:
93 DUDLEY ST MECHANICAL RESIDENTIAL DUPLIX HVAC EACH UNIT- 2 $4800.00
HVAC A/C, 2 AHU, 2 TON EACH
TYPE OF
ZONING: :D •
• • GROUP:
172197 0010 DONNERS R/P
COMPANY: ADDRESS:
BELOW ZERO HEATING 11654 SANDS AVE JACKSONVILLE FL 32246
AND AIR CORP
• ADDRESS:
GIPSON JAMES F 2726 DAHLONEGA DR JACKSONVILLE FL 32224-3817
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
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
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 $2.00
Issued Date:6/17/2019 1 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
f 800 Seminole Rd Atlantic Beach FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: `l — , q 3—Z V�,✓t�f�2�/ � PROJECT VALUE$ 44&0
❑NEW 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 BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
D REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
i ❑ Air Handling Equipment Only ❑ Condenser Only 2 Air Handling Unit& Condenser
U Air Conditioning: Unit Quantity i Tons per Unit
D Heat: Unit Quantity I BTU's Per Unit 9q., Seer Rating(REQUIRED)
Duct Systems: Total CFM
V
❑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—]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
BOTHER:
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: Phone Number: q0U— X00
Mechanical Company: ,) ?ZIIQ Office Phone:9W_M__%0e Fax
Co.Address:111 6&_4 .SqeKL AXnue_ City: ZT)"C"o, State: FL zip: 3a9Y6
License Holder: r • • 12_6 1G:Z Sta rtification/Registration# 42- IrAC-le 1266 f
Notarized Si ature of License Holder jc
The foreri
goi ins ym t as acknowledged before me this da of 20i the to of Florida,
County of -
Signature of Notary Public
4-1 Personally Known OR [ ] Produced Identification
IcomMISSION#FF924NDLESPERGER Type of Identification:
£t- MY COMMISSION#FF 924951 Y p
EXPIRES:October 6,2019 updated 10/9/18
Bonded Thru!Notary Public Underwriters