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1365 Seminole Rd ACRS19-0241 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER -02 ACRS19 41 PERMIT ISSUED: 7/12/2019 CITY OF ATLANTIC BEACH EXPIRES: 1/8/2020 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: 1365 SEMINOLE RD MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2 TON $3500.00 HVAC TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1718980000 SELVA MARINA UNIT 01 ADDRESS: CITY: STATE: ZIP: NORTHPORT CONSTRUCTION GROUP 2905 SPRING PARK RD JACKSONVILLE FL 32207 dba NORTHPO OWNER: ADDRESS: CITY: STATE: ZIP: MARSH JAMES ROWLAND 216 ADAMS AVE ALEXANDRIA VA 22301 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT AC AND REFRIGERATION 455-0000-322-1000 2 $16.00 FURNACES AND HEATING 45S-0000-322-1000 22200 $24.00 MECHANICAL BASE FEE 4SS-0000-322-1000 0 $SS.00 STATE DBPR SURCHARGE 455-0000-208-0700 C) $2.00� Issued Date: 7/12/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0241 PERMIT ISSUED: 7/12/2019 CITY OF ATLANTIC BEACH EXPIRES: 1/8/2020 Olt 0 STATE DCA SURCHARGE 4S5-0000-208-0600 $2.00 TOTAL: $99.001 issued Date:7/12/2019 2 of 2 N F&iATj`0N. "ALL I FO LA, Mechanical Permit Application - HIGHLIGHTED IN GRAYIS REQUIRED., City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 R C� C, Phone: (904) 247-5826 Email: Building-Dept(cDcoab.us PERMIT#: 00 JOB ADDRESS: nck U PROJECT VALUE $Z-) NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 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 4XEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) EI Air Handling Equipment Only 0 Condenser Onl Xf Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTU's Per Unit 12..200 Seer Rating (REQUIRED) Duct Systems: Total CFIM FIFIRE 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 7MISCELLANEOUS: Prefabricated Fireplace (Qty)_ Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators FIALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks (gallons) Wells F-JOTHER: 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: ,��zu\cmA � L -e. . ,r-,-_-:, .!-_-- Phone Number:(q04)302-9020 Mechanical Company: NaMod Cooslw6on Office Phone: '4Z\ Fax-AL-2L�s Co.Address: ZA05 City: 'JAA State: fL� zip: 322 License Holder: State Certification/ReCistration tt ChC t2-500S9 Notarized Signature of License Holder The foregoing instrument was acknowledged before me this]Q__day of 20d, in the State of Florida, County of I)U\j a( Signat I ure of Notary Public Notary PuNjC State of FW)da eAN Shit-SeyMWer Personally Known OR [ ] Produced Identification My C"nmn)on GG 164 325 40F) Ey4wes i it3a,12021 Type of Identification: RIN I Updated 10/9/18 Cash Register Receipt Receipt Number � ft A- -j Igo City of Atlantic Beach R9542 DESCRIPTION ACCOUNT CITY P AID PermitTRAK $99.00 ACRS19-0241 Address: 1365 SEMINOLE RD APN: 171898 0000 $99.00 MECHANICAL $95.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 2 $16.00 FURNACES AND HEATING 455-0000-322-1000 22200 $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 777— 455-0000-2087� 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R9542 $99.00 Date Paid: Friday, July 12, 2019 Paid By: NORTHPORT CONSTRUCTION GROUP dba NORTHPO Cashier: CT Pay Method: CREDIT CARD 03795G A Printed: Friday,July 12,2019 8:52 AM 1 of 1 1 T 19T