230 10th St ACRS19-0216 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r r ACRS19-0216
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 CONFORMTO THE CURRENT 6TH EDITION1 OF • ' r ' BUILDING
• r OF • r 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.
• : err ' r • OF • •
MECHANICAL RESIDENTIAL install 2-ton 22K-BTU & 3.5-
230 10TH ST HVAC ton 41K-BTU & 2.2K-CFM $17945.00
duct Sys.
TYPE OF r
ZONING: : r •
• • GROUP:
170357 0000 ATLANTIC BEACH
PARKWAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
THIGPEN HEATING & 2801 DAWN RD JACKSONVILLE FL 32207
COOLING INC.
• = rr • '
FRANCIS JAMES D 230 10TH ST ATLANTIC BEACH FL 32233-5750
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.
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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 5.5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2200 $28.00
FURNACES AND HEATING 455-0000-322-1000 63000 $28.00
Issued Date:6/20/2019 1 of 2
,{
i-L'fr MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
rACRS19-0216
PERMIT ISSUED: 6/20/2019
0119r CITY OF ATLANTIC BEACH EXPIRES: 12/17/2019
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.27
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$155.27
Issued Date:6/20/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CI'T'Y OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
RPh(904) 2477-5826 Fax(904)247-5845
JoB ADDRESS: ; 30 f/ S'f-Y _ - `—' ` . PERMIT# tet'S �r D yrs
PROJ'EC'T SAL UE $ !? �� ARI
REQUIRED
NEW AIR CONDITIONING & HEATING S 1V,I`1t;NS-T' LLATI.O ._..._ .
Air Conditioning: Unit Quantity Tons Per Unit E — '�'�' 3y�f
Heat: Unit Quantity BTU's Per Unit,Z, ,r- , Seer Rating
Duct Systems: Total CFM Z_�?� REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 Bose 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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces .Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
'Permit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months,1 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,
Property Owners Name �� -<s d• �r��ms`s Phone Number .e
Mechanical Company �5/�'�► �y �s �l� �- —Office Phone ��� ! !f 1,w
Co.Address: Z80/ �y�,,�, �'!✓✓ City �� State/ Zip 3��7
License Holder(Print): �I/-rZe1/4/_ .143oelf State Certification/Registration#
Notarized Signature of License Holder )*
Before me this Zo d f 20�_
?ti DEANNAJONES
..; .� commission#FF 930612 Signature of Notary Public
Expires February 26,2020
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Cash Register
• • • •
J BeachCity of Atlantic R10674
DESCRIPTION • CITY PAID
PermitTRAK $55.00
ACRS19-0216 Address: 230 10TH ST APN: 170357 0000 $55.00
MECHANICAL HVAC ROUGH 09/06/2019 RBE $55.00
MECHANICAL HVAC ROUGH 09/06/2019 455-0000-322-1002 0 $55.00
RBE
TOTALR10674
11
Date Paid: Monday, October 07, 2019
Paid By: THIGPEN HEATING & COOLING INC.
Cashier: CB
Pay Method: CREDIT CARD 5
Printed: Monday,October 07,2019 2:55 PM 1 of 1