1679 Seminole Rd #3 ACRS19-0225 HVAC PERMITNLJ� ",ER
MECHANICAL RESIDENTIAL HVAC
PERMIT ACRS19-O� 7-5
ISSUED: 6/217/.'-019
I r; T CITY OF ATLANTIC BEACH EXPIRES: 12/22'7019
'ON.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY Ift-
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORI-N.- -ILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF OIRDINANCt
ALL CONDITIONS OF PERMIT IPPLY, PLEASE READICAREFULLY.
4A
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to th' )rope��y
that may be found in the public records of this county,and there may be additional permits required from er
governmental entities such as water management districts,state agencies,or federal agencies.
JOB-ADDRESS: PER DESCRIPTION: 7-
1679 SEMINOLE RD 3 MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2.5 $3,-J, ).00
HVAC TON
TYPE OF REALIESTATE BU1611N,
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NUMBER: V,
CONSTRUCTION:
1695790075 OCEAN GP,(-' 'E UNIT 01
COMPANY: ADDRESS:
DON'S AIR CONDITIONING 24033 KELLOW CIR JACKSONVILLE I'L 32216
INC
OWNER: ADCIRESS- CITY� STATE4,,"
CAREY STEVEN EDWARD 1679 SEMINOLE RD APT 3 ATLANTIC BEACH FL 2233-5800
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 Fli
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR N
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-wa
DESCRIPTION ACCOUNT QUANTITY PAID AMC T
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 4S5-0000-322-1000 30000 $24.00.
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $5S.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 52.00
STATE DCA SURCHARGE 455-0000-208-0600 0 �2.00
Issued Date: 6/25/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMITNLIMBER
ACRS19-0225
PERMIT
ISSUED: 6/2 ;/2019
0! 19", CITY OF ATLANTIC BEACH EXPIRES: 12/172/2019
TOTAL: $99.00
Issued Date: 6/25/2019 2 of 2
"ALL INFORMATION
Mechanical Permit Application
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
li(7 4 9 0 Z--Z-S
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: ZaAo PROJECT VALUE $ co
&M
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
El Air Handling Equipment Only Ei Condenser Only L-1 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFIVI
k-kEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) -$297-s-1
0 Air Handling Equipment Only Lj Condenser Only -k-Air Handling Unit& Condenser
Air Conditioning: Unit Quantity TonsperUnit -2?11-
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty)__ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
DALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
E]OTHER:
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: `Wa4) Phone Number:
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*--y 7 Fax ?0 Y&I
Mechanical Company: %ffice Phone: -7 v
S[�o K-PLLCL,4J Ct City: -14 K State: Zip:
Co. Address:
License Hold v4tjo 6C(Atff State Certification/Registration# I
Notarized Signature of License Holder
The foregoing NiWvas acknowledged before me this .�05 of Wn 20)01 r
County of My Comm.Expires
Signature of Notary Public 2A1Q M
T958
Comm.'Go
Personally Known OR Vroduceg,14ntification
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PUB10 7,�
Type of Identification:—