1876 Beach Ave ACRS19-0236 i1-1y'r MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
s ACRS19-0236
PERMIT
ISSUED:
CITY OF ATLANTIC BEACH EXPIRES:
MUST CALL INSPECTION • • • 1 PM FOR • INSPECTION.
ALL •RK MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D • BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL • • 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:
MECHANICAL RESIDENTIAL 5K-CFM duct system for
1876 BEACH AVE $4000.00
HVAC interior remodel
TYPE OF
ZONING: :D •
• • GROUP:
1695420608 BEACHSIDE
COMPANY: ADDRESS:
• ADDRESS: CITY: STATE: ZIP:
Farid Hakim 1876 BEACH AVE ATLANTIC BEACH FL 32233
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.
LIST OF • • •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 5000 $44.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $103.00
Issued Date: 10f 1
Mechanical Permit Application "ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#.
JOB ADDRESS: )its 7(0 '9'e0,C\-i Ave (C��s �"l - a►3y)PROJECT VALUE $ f000.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
(REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
He Unit Quantity�,,, rrss-- BTU's Per Unit Seer Rating(REQUIRED)
Duct Systems Total CFM ✓�
EI 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)
F—]FIRE PLACES ❑ MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
❑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: 4t'6A Phone Number:
Mechanical Company: Fb&l_,(/U, iN G Office Phone: yDY-3) • 072.1 Fax
Co. Address: /b 27 81CI&N&c City: or.-rtPa�� State: F(- Zip: 3Lo(6.7
License Holder: ci L tate Cert' ' ation/Registration# CAC t9) hp(pbT
Notarized Signature of License Holder
The foregoing I trument was ackn e before me this day f uC ,20� in the State of Florida,
County of �0_\1� �
Signature of Notary Public
$" l'' JENNIFER JOHNSTON
='� MY COMMISSION#GG 042984 [ ] Personally Known OR [Produced Identificati n
EXPIRES Octaber27,2020Type of Identification: L�n��
......i ~� Bonded Ttvu Notary Public Underwriters
Updated 10/9118