1018 Big Pine Key ACRS19-0210 HVAC X MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0210
PERMIT ISSUED: 7/12/2019
x!EM19 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 CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! 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.
VALUE OF WORK:
JOB ADDRESS: PERMIT TYPE: DESCRIPTION:
1018 BIG PINE KEY MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 1.5 $4167.00
HVAC TON
TYPE OF
ZONING: : • •
• • GROUP:
172027 5062 SELVA LAKES
• � , ADDRESS: '
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
ADDRESS:
WALTERS JERRY L 1018 BIG PINE KEY ATLANTIC BEACH FL 32233-4363
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
AC AND REFRIGERATION 455-0000-322-1000 1.5 $8.00
FURNACES AND HEATING 455-0000-322-1000 18000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
Issued Date: 7/12/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0210
ISSUED: 7/12/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/8/2020
TOTAL: $91.00
Issued Date: 7/12/2019 2 of 2
"Alt iNFORMATIar9
Mechanical Permit Application IN
City of Atlantic Beach Building Department RAritq'.JtREla.
00 Serriinole Rd, Atlantic Beach, FL 3223 CjZs(9 - C) Z 10
Phone: (904) 247-5826 Email: Buildirt�[T ,r-'ioall L;_ PerrAlTN:
JOB ADDRESS, ;012 LC Fti � PROJECT VALUE $ 4 1 LCI) OcO
NEW AIR CONDITIONING &. HEATING SYSTEM INSTALLATION ARI#(RC00JREO)
❑Ali,Hondling Equipment only ❑ [�n�en5e� 0���'r ❑ A,r Hcrnclfing Ur,:r Co.nde!lser
Air Conditioning: Unit Quantity _ Tons per Ur• t - Seer Ratio REQUIRED)
Heat- Unit Quantity B rkis per Unitis�
DurtSystem5: Total CFm
EZREPL.ACEMENTAIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQl1IRED) "r.7 igL :L-.r,?_
❑,�:r Handfing EgWrr,-erit 001Y 0 Ccpdeaser Only 2A,r Handling Unit& CcIldeOser
Air Conditioning: tUnil Quantity I Ton: per Unit 1 5
Heat; tJntt Quantity_ 4 BTU's Per Unit ado Seer Rating (REQUIRED)
Duct Systems' Total CFM
FIRE PREVENTION (Re quires 3 sets of plans)
Fire Sprirjkler System Quantity
Fire Standpipp Quantrty {Requires 3 sets of plans)
Underground Fire Mari Value �f?equires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity, (Requires 3 sets of plans)
ire Slppres5ion Systems Quantity (Requ res 3 sets of plans)
[—IE:IRE PLACES 71 MISCELLANEOUS-.
Prefabricated Fireplace (Qty1 Automobile Lifts
Gas Piping OWets Boilers BTUs
Elevatorsf Esealatars
[JALL OTHER GAS PIPING Heat Exchanger
Quantity of outlets Pumps
Vente-d Wati Furnaces Refrigerator Condenser BTUs
# (Mater Heaters Solar Collection Systems
Tanks (gallons)
Wells
F-JOTHER:
Permit hK ame:void i(work does not commence�w'it!,;n a sl:..month+o&iod or %ork Is sus•-*ended or,har Boned for six mor*ths. I hereby
terrify That)have rrad this application and know th�c 5.•ne to be true and eorrm't. All prv.islar s rf 1,Lvs a^d o-dinances govern ing t}+
-&(rk.v:ll�:arrpreed%yfth whether speciReo or not. The perp-it toes mot give authority to viola-,e the p• isic<ts of any other state
nr
�c>Kal law-e;ulat v- rc'rn:tr�.Pctinn or the pt-for^rant+:r:f ton.:rtx':ttn
E�+� Vv r1 „t,,� Phone. h;�fnner: itT:�4��'Lr;Z.- '?±9•c:
Owner Na-e:
M,lechaiiiral Comoany: �' , } T � ' 5.r
Office Phone: Y, �' Fax( r 'i't
Co-Address: S- �v
State. . Z n: 3rd3
License Molder: 1a.1'�l tom? €� ti'r�ct� State Certification/Rergistratlor,# '_.iyS r` 2 �.
.ML
otar(zed Signature of license HoJd--r air' e� •�=- - ? 1r ',`—
w ,
Tttc Fore�cing Enstru-ne"' 't:as ackno'h'ledocd before me this a„�d�Y�4L��' 20 jeL In the State of Florida;
Courtly of L _+ 'A L — -
Signature of Notary public ,,.,
� !,A;PN L TC1AFrK]rt5 Persoinally Kno.,+n OR( i Prod"ed Identifica cin
EA., K.ni Type of Identification:
�„ v perm6Pav Tvt Fit hRrou 6DrrJl.S:1'i
Cash Register Receipt Receipt Number
City
of Atlantic Beach
R9551
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $265.00
ACRS19-0130 Address: 2025 BEACH AVE APN: 169709 0000 $75.00
MECHANICAL $71.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACR519-0210 Address: 1018 BIG PINE KEY APN: 172027 5062 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $8.00
FURNACES AND HEATING 455-0000-322-1000 18000 $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
MCAC19-0010 Address: 1880 S MEALY ST APN: 172326 0100 $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 24000 $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
• R9551 $265.00
Date Paid: Friday,July 12, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 002969
Printed: Friday,July 12,2019 12:20 PM 1 of 1
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