1832 Tierra Verde Dr ACRS19-0254 Duct Work Only MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
' ACRS19-0254
PERMIT
ISSUED: 7/29/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/25/2020
MUST CALL INSPECTION • ! • 1 / 247-5814 BY 4 PM FOR • •
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:
1832 TIERRA VERDE DR MECHANICAL RESIDENTIAL DUCT WORK ONLY $950.00
HVAC
TYPE OF
• • GROUP:
169542 5056 SELVA TIERRA
COMPANY: ADDRESS: CITY: STATE: ZIP:
MADDENAIRE INC. 6642 SAN JUAN AVE JACKSONVILLE FL 32236
• ADDRESS:
KRASUTSKY EVE ETAL 1513 OCEAN FRONT NEPTUNE BEACH FL 32266
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
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
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: $79.00
Issued Date: 7/29/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 ���(Q
JOB ADDRESS: l 9:3 Z J i c—2 fZ A V some_n �w l7 2 PERMIT #
PROJECT VALUE $ 9S01___
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM 6 oa REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: p Q u c-t- a o ✓Z-1-(- '7--13 12 &,1 o n o!F L t-D C V iftj C Pee ey�
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.
Property Owners Name Ey F_ K ft-A 5 u`C 5 �V Phone Number
Mechanical Company M R is D fes•,A-i ra-C- t til c. Office Phone-g tt-®oL°Fax ck K -41.Ltt r:?
Co. Address: G G Li 2 SA,, 'J—,j" Aye City-j_Ac-K.sowvr.t,-_E State Ft- Zip ?zz_c o
License Holder(Print): GE c e-G f- T MAb6jK,,j State Certification/Registration# CA CO Z Z_,t zs
Notarized Signature of License Holder
MARY ELLEN FERIA Sworn and subsc ed before me thish day of v 20
NOTARY PUBLIC STATE OF FLORIDA Signature of Notary Public(12-14
My commission expires en Dec.2,2022
Commission No. GG280658