448 Skate Rd ACRS19-0229 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0229
PERMIT
ISSUED: 7/9/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/5/2020
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:
448 SKATE RD MECHANICAL RESIDENTIAL HVAC 1 A/C, 1 AHU, 3 TONS $3300.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE
SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
1715620000 02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
LARRY TEAGUE & SONS 101 LEMON STREET NEPTUNE BEACH FL 32266
HEATING & AIR
OWNER: ADDRESS: CITY:
MINCEY WILLIE S 448 SKATE RD ATLANTIC BEACH FL 32233-3822
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 3 $24.00
FURNACES AND HEATING 455-0000-3 22-1000 30000 $24.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE T- 45S-0000-208-0700 $2.00
Issued Date: 7/9/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0229
PERMIT
ISSUED: 7/9/2019
CITY OF ATLANTIC BEACH
EXPIRES: 1/5/2020
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL: $107.00
Issued Date: 7/9/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
-7 -7
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 448 SKATE ROAD,ATLANTIC BEACH,FL. 32233 — PROJECT VALUE$3,300.00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
11 Air Handling Equipment Only 0 Condenser Only [I Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
1771 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 201753520
El Air Handling Equipment Only 0 Condenser Only [3 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.0
Heat: Unit Quantity 1 BTU's Per Unit Seer Rating (REQUIRED) 14.00
Duct Systems: Total CFM
F�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�ets of plans)
FFIRE PLACES r7 MISCELLANEOUS:
Prefabricated Fireplace (Qty)_ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
F7ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
FICITHER:
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:WILLIE AND EULA MINCEY Phone Number: (904)318-4779
Mechanical Company: LARRY TEAGUE&SONS Office Phone: (904)270-2289 Fax(904)249-8259
Co.Address: 3509 EUNICE ROAD City: JACKSONVILLE State: FL Zio: 32250
License Holder: KATHY BROWNING State Certification/Registration# CAC 1816895
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me thisX44-da T� (A Q
li�My 1 20,4 int.�etate f Flo
County of C5U\,1PV1—
ignature of Notary Pub
MELANIE .DARLINGTON 0-
ersonally Known OR Pro4ced Identification
Notary Public.state ot Florida
commission#FF 953997
e of Identification:
MY COMM.Expires May 15,2 02 P
Updated 1019118
Bonaed through National Notary Assn,
Cash Register Receipt Receipt Number
City of Atlantic Beach R9506
F-
DESCRIPTION ACCOUNT CITY P
PermitTRAK $107.00
ACR519-0229 Address: 448 SKATE RD APN: 171562 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
STATE SURCHARGES
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: R9506 $107.00
Date Paid:Tuesday,July 09, 2019
Paid By: LARRY TEAGUE &SONS HEATING &AIR
Cashier: CT
Pay Method: CREDIT CARD 054142
Printed:Tuesday,July 09,2019 4:42 PIM 1 of I