360 8th St ACRS19-0246 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
� ACRS19-0246
PERMIT ISSUED: 7/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/12/2020
MUST CALL INSPECTION PHONE LINE (904) 247-58i4 By 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, OF BEACH CODEOF 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:
MECHANICAL RESIDENTIAL
360 8TH ST HVAC replace 2-ton 24K-BTU AHU $3200.00
TYPE OF
ZONING: : • •
• • GROUP:
169938 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
GURLEY HEATING AND AIR 2028 INDIAN SPRINGS RD JACKSONVILLE FL 32246
• ADDRESS:
CALLIHAN STEPHEN R 368 8TH ST ATLANTIC BEACH FL 32233-5436
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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $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 455-0000-208-0600 0 $2.00
TOTAL:$99.00
Issued Date: 7/16/2019 1 of 2
ri'''''% MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r ts,
PERMIT ACRS19-0246
ISSUED: 7/16/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/12/2020
Issued Date: 7/16/2019 2 of 2
Mechanical Permit A **ALL INFORMATION
pplication
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
s�
800 Seminole Rd, Atlantic Beach, FL 32233 /�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: A1CA.S M-oa`
JOB ADDRESS: �(�D S' PROJECT VALUE $_'�T"Z-t�
❑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
XREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity /� Tons per Unit '116h, f
Heat: Unit Quantity BTU's Per Unit o oe# Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑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. '` p,,,p
Owner Name: ,�/ e �`f �/h��� r1- n p Phone Number: 2-I 1'" lel
Mechanical Company: �tV I771iTJh f /may-coraAren�A0(Y'ffice Phon/e�: le 2ZI Fax ?e •-2V-W.-
Co. Address: 2D2� Zi1��/► 'jA 4 r_ City: (�d�iC���►y!/�q State:
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License Holder: 6/41 2 State Certification/Registration# (aAe-A%q i'Z
Notarized Signature of License Holder
The foregoin,gg instrurnrt was acknowledged before me this I(D ay of ��`� ,�ej in the State of Florida,
County of Ut..`J Gl l
Signature of Notary Public
JENNIFER JOHNSTON
[ ] Personally Known OR [I,}'�rodhuced Identification
° MYcOMMIM Type of Identification:
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E CPIRESUpdated 10/9/18
Bonded Thru Niters