1927 Beachside Ct ACRS19-0217 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0217
PERMIT
ISSUED: 6/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 12/18/2019
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1927 BEACHSIDE CT MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2 TONS $7160.00
HVAC
TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695420576 BEACHSIDE
ZIP:
COMPANY: ADDRESS: CITY: STATE:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
ZIP:
OWNER: ADDRESS: CITY: STATE:
MARTIN RONALD D 1927 BEACHSIDE CT ATLANTIC BEACH FL 32233-5955
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.
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 4SS-0000-322-1000 2_ $16.00
FURNACES AND HEATING 4SS-0000-322-1000 22000 $24.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
$2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0
Issued Date: 6/21/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0217
PERMIT
ISSUED: 6/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 12/18/2019
—oil
TOTAL: $99.00�
Issued Date:6/21/2019 2 of 2
.�Ait.INFORMATION
Mechanical Permit Application -HbGHTT
Nil. EDIN
city of Atlantic Beach Building Department t RfQtj IBM!.
900 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5926 Email: Building-Dept@bcoab-J-1 PERMIT It:
JOBADDRESS: 1qZ1 EEAC!691DECT PROJECT VALUE S-31 V0,Q0-
FNEW AIR CONDITIOWNG & HEATING SYSTEM INSTALLATION A Rf#IREQ UIR ED) ji
0 Ajr Handling Equooment Qn)y E3 Corid-orise.r Only [I A�r Har.d"ng Un it & cer detiser
Air Co-iditioning. Unit Quantity Tons per Unit Seer RatinE �REQUJRED)
Heat: Unit Quantity BTUs per Unit
Duct Sv�'ems Total CFM
[OREPLACLMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUiRED)
El A,; Hoodling Equipment OrlY El Condenw Only 13Air Haridlfir�g Unit Condenser
Air Conditioning- Unit Quantity Tons per unit Seer Rat�ng (REQUIRED) I-S.!S
Heat: Unit Quantity BTU's Per Unit 7-2a
D u ct t e m S' Total CFM
[JIFIRE PREVEN-noN (Requires 3 sets Of P1311"15)
Fire Sp-;nkler System Quantity
Fire. Stardpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Firp Hi:se Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire SLPPfeSS'On Sy5teM5 Quantity (Requires 3 sets of Plans)
F—FIRE PLACES MMISCELLANEOUS:
Prcfabrntecl Fireplace(Qty)— Automobile Lifts
P Outlets Boilers BTUs
Elevators/Escalators
DALL OTHER GAS PIPING Heat Exchanger
Quant-ty&Otitlets Pumps
4 Ventpci Wa3 Furnaces Refrigerator Condenser BTUs
g Water Hpaters Solar Collection SYstems
Tanks (gallons)
wells
F70THER:
h penod or work is suspended or abandwed for sim mooths. I h erczy
P,-rrnii beco-nesvo,d if work does not commence wtHn a Sk mont
cc-ii;y ih4r.I have cad thi-.appllca�:<Nl and kitow the same to t�e true ard correct. All pro,#As�ons of lawsand oreinances goveming ti-is
'%%'Qrk wil. be coinpi ed with whether speciPed or not. Ttte periTit does not give authority to violate 914�provisions o-any other state or
locai:aw ret.,lation constriclion or the performance of Cr,r!tr,rl inn,
Phone Number: '6460t
Owner
officePhone: 1,411�-
metharlical z=ry". -:00 �4.N
City; State Z
CO. Addrese,
License Holdet-' V4%'LLI,W. C,,��... S,ateCertific�%tion/Registrationo Ioe_
iYorarized Signature of Licen5e Holder
Tli-e forp.goir�%nstrument was acknowledged before me this 20 in the State of F'o-i cl�j
_LL__dayof
Cou'Ity r4 Signature of Notary Public CPA
—- -- [.,,I Personally Known OR Produced Identification
r7,1't�� q0WW L TOW%KS
77--7
Identification!
Type of UpdaredIWIR
Amy n,2021
to ore r�m TRI fib ks
7.1 Receipt Number
Cash Register Receipt
City of Atlantic Beach R9372
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS19-0217 Address: 1927 BEACHSIDE CT APN: 169542 0576 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22000 $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
TOTAL FEES PAID BY RECEIPT: R9372 $99.001
Date Paid: Friday, June 21, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD I
Printed: Friday,June 21,2019 9:37 AM 1 of 1