1380 East Coast Dr ACRS19-0215 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r ACRS19-0215
PERMIT ISSUED: 6/20/2019
CITY OF ATLANTIC BEACH EXPIRES: 12/17/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE 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: PERMITTYPE:
DESCRIPTION: VALUE OF WORK:
1380 EAST COAST DR MECHANICAL RESIDENTIAL replace 3-ton 36K-BTU AhU
HVAC & 1200 CFM duct system $4500.00
TYPE OF BUILDING
• • GROUP:
171904 0000 SELVA MARINA UNIT 01
COMPANY: ADDRESS:
HAMMOND AIR
CONDITIONING INC 3412 GALILEE RD JACKSONVILLE FL 32207
• ADDRESS: STATE: ZIP:
MANSUR AL 1360 EAST COAST DR ATLANTIC BEACH FL 32233
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 6/20/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0215
PERMIT ISSUED: 6/20/2019
CITY OF ATLANTIC BEACH EXPIRES: 12/17/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$127.00
Issued Date:6/20/2019 2 of 2
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Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
r 800 Seminole Rd, Atlantic Beach, FL 32233 CC
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: kc"19-oa 1_$`
JOB ADDRESS: PROJECT VALUE$ L4 Soo,
❑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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(PeQUIRED) cl Stets i-1�{
❑ Air Handling Equipment Only ❑ Condenser Only E Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit 3
Heat: Unit Quantity I BTU's Per Unit 3 Seer Rating (REQUIRED)
Duct Systems: TotalCFM 11-0v
El 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: N I mwgor n Phone Number: 90-1 --2-11-03 2.s.-)
Mechanical Company: iUd/✓ll kAA )QI` �►,61. r.���n Office Phone: �}o-t-3q&-G`t��ax
Co.Address: 3`l It Ge����- City: Ate« Via. Stater- Zip: 3uo-1
License Holder: State Certification/Registration#
Notarized Signature of License Holder
The foregn tr ent was acknowledged before me this a , in the State of Florida,
County of
Signature of Notary Public
[ ersonally Known OR [ ] Produced Identification
"'�TONIG1NDl1ESPERG924951 TY p e of Identification:
�Et'""¢v�kc' MY COMMISSION# 6 2019
Octobe Updated 10/9/18
EXPIRES' Pub4cunaeners
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Beach • •
DESCRIPTION • CITY PAID
PermitTRAK $127.00
ACRS19-0215 Address: 1380 EAST COAST DR APN: 171904 0000 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTALPAID BY RECEIPT: R9367 $1271 1
Date Paid: Thursday,June 20, 2019
Paid By: MANSUR AL
Cashier: CB
Pay Method: CREDIT CARD 11
Printed:Thursday,June 20, 2019 3:23 PM 1 of 1