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33 Lewis St ACRS19-0251 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ° ACRS19-0251 PERMIT ISSUED: 7/22/2019 CITY OF ATLANTIC BEACH EXPIRES: 1/18/2020 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 I CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF APPLY, , 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: MECHANICAL RESIDENTIAL 33 LEWIS ST HVAC HVAC - 1 A/C, 1 AHU, 2 TONS $2800.00 TYPE OF • • GROUP: 172204 0000 DONNERS R/P COMPANY: ADDRESS: CITY: STATE: ZIP: LARRY TEAGUE & SONS 101 LEMON STREET NEPTUNE BEACH FL 32266 HEATING & AIR • ADDRESS: CITY: STATE: ZIP: HILL LINDA FAYE 33 LEWIS ST ATLANTIC BEACH FL 32233-1917 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. 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 4S5-0000-208-0600 0 $2.00 Issued Date: 7/22/2019 1 of 2 ALL * ON Mechanical Permit Application HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 322331�2C�� Ci oz S - Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: l JOB ADDRESS: 33 LEWIS STREET,ATLANTIC BEACH, FL. 32233 PROJECT VALUE $2,800.00 ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) El Air Handling Equipment Only El 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) 201/53522 []Air Handling Equipment Only © Condenser Only El Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 2.0 Heat: Unit Quantity 1 BTU's Per Unit 7—=4C,Ov Seer Rating (REQUIRED) 14.00 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) ❑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:LINDA F. HILL Phone Number: (904)729-9468 Mechanical Company: LARRY TEAGUE&SONS Office Phone: (904)270-2289 Fax(904)249-8269 Co.Address: 3509 EUNICE ROAD City: JACKSONVILLE State: FL Zip: 32250 License Holder: KATHY BROWNING State Certification/Registration# CAC 1816895 Notarized Signature of License Holder C,4A a ni ►-L� The foregoing instrument was acknowledged before me this fdy of in th State of Florida, County of f MELAWE A.DARLINGTON Signature of Notary Pub Notary PublIC-Stitt �f Florida Commission 1 FF 953997 [1)'f�ersonally Known OR [ J Produced Identification My Comm.Expires May 15,2020 Type of Identification: '' „„n Bonded through National Not Assn. Updated 10/9/18 Cash Register • t Receipt Num City of Atlantic Beach R9631 v DESCRIPTION • QTY PAID PermitTRAK $99.00 ACRS19-0251 Address: 33 LEWIS ST APN: 172204 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 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 TOTAL .96 . . 11 Date Paid: Monday,July 22, 2019 Paid By: LARRY TEAGUE &SONS HEATING &AIR Cashier: CB Pay Method: CREDIT CARD 2 Printed: Monday,July 22,2019 9:11 AM 1 of 1 OF