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117 Ardella St ACRS19-0218 HVACMECHANICAL RESIDENTIAL HVAC PERMIT T CITY OF ATLANTIC BEACH PERMIT NUMBER ACRS19-0218 ISSUED: 6/21/2019 EXPIRES: 12/18/2019 MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $5317.00 117 ARDELLA RD HVAC TONS DONN ERS S/D PT LOT 2 172153 0000 17- COMPLETE AIR SYSTEMS 1721 FOREST BLVD REED MICHELLE GLORIA 117 ARDELLA RD JACKSONVILLE FL 32246 CITY: STATE: ZIP: ATLANTIC BEACH FL 32233-4352 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 ury approves II5L Issued Date: 6/21/2019 1 of 2 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00 FURNACES AND HEATING 455-0000-322-1000 27800 $24.00 MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00 Issued Date: 6/21/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC �PERMIT oil 9" CITY OF ATLANTIC BEACH Issued Date: 6/21/2019 2 of 2 PERMIT NUMBER ACRS19-0218 ISSUED: 6/21/2019 EXPI RES: 12/18/2019 TOTAL: $99.00 Y Mechanical Permit Application r� City of Atlantic Beach Building Department '' 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us JOB ADDRESS: 117 Ardella Rd "ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. PERMIT #: C-1 1 \ -J 1:) — C-) Z ( e) PROJECT VALUE $5,317.00 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) 0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit & Condenser Air Conditioning: Unit Quantity Tons per Unit Fire Hose Cabinets Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM Quantity []✓ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) 0 Air Handling Equipment Only 0 Condenser Only El Air Handling Unit & Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 2.5 Heat: Unit Quantity 1 BTU's Per Unit 27,800 Seer Rating (REQUIRED) 16.00 Duct Systems: Total CFM ❑FIRE PREVENTION Fire Sprinkler System Quantity Fire Standpipe Quantity Underground Fire Main Value Fire Hose Cabinets Quantity Commercial Hoods Quantity Fire Suppression Systems Quantity FIRE PLACES Prefabricated Fireplace (Qty) Gas Piping Outlets ❑ALL OTHER GAS PIPING Quantity of Outlets # Vented Wall Furnaces # Water Heaters OTHER: (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) [7 MISCELLANEOUS: Automobile Lifts Boilers BTUs _ Elevators/Escalators Heat Exchanger Pumps Refrigerator Condenser BTUs _ Solar Collection Systems Tanks (gallons) Wells 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 Nam — � LO Phone Number: (901)489-1177 Mechanical Company: Complete Air Systems, Inc. Office Phone: (90268-4486 Co. Address: 11511 Summer Haven Blvd N License Holder: Brian Keith Toole Notarized Signature of License Holder City: Jacksonville Fax(904)268-2296 State: FL Zip: 32258 n # CAC1814404 The foregoing instrument was acknowledged before me this �Zej 3U O -Q , 2019 in the State of Florida, County of ��C�� Signature of Notary Public ( f 1ef sonally Known OR [ J Produced Identification Type of Identification: 'PAY ...Imo_ FIt N,-uNp oU., ChARN R Comm4YjA'd0&r{f3Y21f451 •� �` ExPires Aprfi 16, 2023 �or/to1� BondWPn9000Noleryservtcee PermitTRAK $99.00 ACRS19-0218 Address: 117 ARDELLA RD APN: 172153 0000 $99.00 MECHANICAL $95.00 AC AND REFRIGERATION 455-0000-322-1000 3 $16.00 FURNACES AND HEATING 455-0000-322-1000 27800 $24.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 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: R9376 $99.00 Date Paid: Friday, June 21, 2019 Paid By: COMPLETE AIR SYSTEMS Cashier: CB Pay Method: CREDIT CARD 2 Printed: Friday, June 21, 2019 11:25 AM 1 of 1i