2077 Beach Ave ACRS19-0255 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0255
PERMIT
CITY OF ATLANTIC BEACH ISSUED: 7/29/2019
EXPIRES: 1/25/2020
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2077 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1A/C, 1 AHU, 1.5 TON $2900.00
HVAC
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: A
NORTH ATLANTIC BCH
1697190000 UNIT3
COMPANY: ADDRESS: CITY: STATE:17�
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
STATE: zip:
OWNER: ADDRESS:
SHEPHERD ROBIN W 2077 BEACH AVE ATLANTIC BEACH FL 32233-5934
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 1.S $8.00
FURNACES AND HEATING 4SS-0000-322-1000 17600 $24,00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00�
Issued Date: 7/29/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0255
PERMIT
ISSUED: 7/29/2019
vii 9' CITY OF ATLANTIC BEACH EXPIRES: 1/25/2020
STATE DCA SURCHARGE 45S-0000-208-0600 S2 00
TOTAL: $91.00'
Issued Date: 7/29/2019 2 of 2
.!"ALLI.NFORMATION
pplication *Gnp MD IN
Mechanical Permit A "G
City of Atlantic Beach Building E)epailment
800 SerTiinole Rd, Atiantic Beach, FL 32233
PEPLPAIT 0.--
Phone: (904) 247-5826 Email:
PROjECT VALUE
JOBADDRILSS 26 —Vi--
r7 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION A R1#(REQUiRED)
El Air,�jandjinq Eqtj�prnent On ij� C] Con Llefiser On)y D Air Handling Unit& C011 dE 115er
Air CE)noitioning* Unit Quantity TonsperUnit Seer Rating (REQUfREO)
meat; Unit Quantity BTU S per Unit
Duct S'y5'*en1s: Total CFM
EREPLA(FMENT AIR cONXTIONING &HEATING SYSTEM INSTALLATION AR1#(REQL1fRED)_!j&nLS��
Equipmelit0r,?Y 0 Colidenser Only N Air Handling ullit& Condenser
Air Cor--. tioning� Unit Quantity 't TonsperUnit —L.—S
TU's Per Unit_Lllr-
H ea t Unit Quantity S-eer Rating(REQUfRED) '14
Duct Systems: Total CFM
F-IFIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System (Requires 3 sets of plans)
Fire Staridpipe
UnderF-flund Firv. Main (Requires 3 sets of plans)
Fir(-, H-j5e Cabinet5 Quantity (Requires 3 sets of plans)
ComrnptLial Hoods Quant" (Requires 3 sets of plans)
Quantity (Requires 3 sets of plans)
Fire Suooression Systems
[DIFIRE PLACES F7 MISCELLANEOUS:
Prefab� Lated FarCIPlaCe (QtY)— Automobile Lifts BTUs
Gas Pi--) r,g outlets Boilers
Elevators/Escalators
rJALL OTHER GAS PIPING Heat Exchanger
Qua n Vty of outlets Pumps
4 Vented wall Furnaces Refrigerator Condenser STUs
4',Nate.r Heaters Solar Collection Systems
Tanks (gallons)
Wells
r-10THER: rnoAths. I heveb-p-
Permit tit-tones-iod if*-cwk does -,at comn-e-ice wi-,�-.iin a six rr-onth period or work is suwnded orawmdroned for six
ce-ti;y th t'1'i ave read thii applicau�on and know the same to be true and cinerect. All p-ovisions of laws and ordinances governinE 14i,&
wnor�wil becorripf*d with vMethtrspecifedoe not. The permit does not give authorly to violate the provisions of any otner state a-
j<X9I regulirticr%constr-,.tion cr the peftMarcc 0
Phone hlumbe,�
office Peione: Fax 2qil
hJL,0-ar czl Company-
Co. Aderc�., 2j�5 city: VN S-a"e-' zip
State Certif ication/Registration 4
Licen%e Holder!_ILLLLU-201%
rvotarized Siqnarure of License Ho;der
De'10TC me this -Z�'i day of. 20A_�, in the State of Floridrj
The foregoing ,ristruin,-- 'wo) ici-.nu--vledgvd
Cou nty of j2V,�, P
Signature of NotarV u b4c I
PersonallY Known OR Produced Identification
ROW L TDWPv146
Type of Identification:
14 .
Cash Register Receipt Receipt Number
City of Atlantic Beach R9711
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $91.00
ACRS19-0255 Address: 2077 BEACH AVE APN: 169719 0000 $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 17600 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9711 $91.00
Date Paid: Monday, July 29, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 2
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Printed: Monday,July 29,2019 1:52 PM 1 of 1 9