2005 Beach Ave ACRS19-0240 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0240
PERMIT
ISSUED: 7/11/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/7/2020
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
2005 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $4962.00
HVAC
TYPE OF I REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
NORTH ATLANTIC BCH
1697060000 UNIT 3
E-: ZIP,
COMPANY: ADDRESS: CITY:
COMPLETE AIR SYSTEMS 1721 FOREST BLVD JACKSONVILLE FL 32246
OWNER: ADDRESS: CITY: STATE: ZIP:
CORSE HERBERT L TRUST 2005 BEACH AVE ATLANTIC BEACH FL 32233-5934
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 CONDITIONS
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 45S-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 35400 $24.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $SS.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
Issued Date� 7/11/2019 1 of 2
PERMIT NUMBER
MECHANICAL RESIDENTIAL HVAC
ACRS19-0240
PERMIT
ISSUED: 7/11/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/7/2020
TOTAL: $107.0�0
Issued Date:7/11/2019 2 of 2
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-Deptificoalgi.Lis PERMIT#: (A RS� 19 0 7-14 C/
JOB ADDRESS: 2005 Beach Ave 32233 PROJECT VALUE$4,962.00
M NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only [3 Condenser Only D 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) 9612800
[I Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3-0
Heat: Unit Quantity 1 BTU's Per Unit 35,400 Seer Rating(REQUIRED) 14.50
Duct Systems: Total CFM 1,200
7FIRE 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 r7 MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
F�ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
MOTHER:
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:Sara Corse Phone Number: (904)246-72B7
Mechanical Company: GompleteArSystems,Inc. Office Phone: (904)268-4486 —Fax
Co.Address: 11511 Summer Haven Blvd N City: Jacksonville State: FIL Zip: 32258
License Holder. Brian Keith Toole State Certification/Registration# CAC1814404
Notarized Signature of License Holder
The foregoinp,instrument was acknowledged before me this dayof---1)k-A\% 120 14A' he State of Florida,
County of �)111\1.1)c& -�-L - — - in t
Signature of Notary Public "--ev ',Zl?
I Personally Known OR Produced Id ritification
Type of Identification:
Updated 1019118
N.,, TYLER SMIGELSKI
f Commission#GG 289465
02
A'V Expires January 8,2023:
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Cash Register Receipt Receipt Number
City of Atlantic Beach R9533
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS19-0240 Address: 2005 BEACH AVE APN: 169706 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 35400 $24.00
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: R9533 $107.00
Date Paid: Thursday,July 11, 2019
Paid By: COMPLETE AIR SYSTEMS
Cashier: CB
Pay Method: CREDIT CARD 9
Printed:Thursday,July 11, 2019 2:13 PM 1 of 1