615 Sailfish Dr ACRS19-0263 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0263
PERMIT ISSUED: 8/5/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/1/2020
MUST CALL INSPECTION PHONE LINE (904) 247-S814 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
615 SAILFISH DR MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3 TON $3000.00
HVAC
TYPE OF REALIESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1712200000 ROYAL PALMS U NIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
LARRY TEAGUE &SONS 101 LEMON STREET NEPTUNE BEACH FL 32266
HEATING &AIR
ZIP:
OWNER: ADDRESS: CITY: STATE:
KIRTON MICHAEL H T 13805 WINDJAMMER LN JACKSONVILLE FL 32224-1152
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 45S-0000-322-1000 3 $24.00
FURNACES AND HEATING 45S-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $55.001
STATE DBPR SURCHARGE 45S-0000-208-0�� 0 $2.00
STATE DCA SURCHARGE 600 1 0 $2.00
Issued Date� 8/5/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0263
PERMIT ISSUED: 8/5/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/l/2020
w119
TOTAL: $107.00
Issued Date:8/5/2019 2 of 2
"ALL INFORMATION
Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 RCIRS19 - OZ63
.15M Phone: (904) 247-5826 Email: Building-Dept@coab.0 PERMIT#:
JOB ADDRESS: 615 Sailfish Drive,Atlantic Beach, Fl. 32233 - PROJECT VALUE $3,000.00
F-1 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
F-1 Air Handling Equipment Only El Condenser Only [I Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
FIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIREI)) 201753520
El Air Handling Equipment Only El Condenser Only [D Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3-0
Heat: Unit Quantity 1 BTU'sPerUnit -�)(,060 Seer Rating (REQUIRED) 14.00
Duct Systems: Total CFM
FIFIRE 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 3sets 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
F-�ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
tt Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
nOTHER:
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:Michael H. Kirton Phone Number: (904)246-0576
Mechanical Company: Larry Teague&Sons Office Phone: (904)270-2289 Fax(904)249-8269
Co. Address: 3509 Eunice Rd City: Jacksonville State: Fl Zip: 32250
License Holder: Kathy Browning State Ce rtif icati o n/Regist ration# CAC 1816895
Notarized Signature of License Holder
The foregoing instrumentwas acknowledged before methisC72WJday of-(j CU<9—, 20_&,in the�tate of Florida,
Countyof
Signature of Notary Public" i (20--C-c
MELAME A.DNIftWOMNIGTON
ersonally Known OR Produced Identification
r
Notary PuMit-Slate of Florldda ry
Commisslon#FF 953"7 pe of Identification:
My Comm.Expires May 15.2020 Updated 1019118
Bonded through National Notary Assn,
Cash Register Receipt Receipt Number
W City of Atlantic Beach R9775
�3-6-5
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $107.00
ACRS19-0263 Address: 615 SAILFISH DR APN: 171220 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9775 $107.00
Date Paid: Monday, August 05, 2019
Paid By: LARRY TEAGUE & SONS HEATING & AIR
Cashier: CT
Pay Method: CREDIT CARD 055049
00.
Printed: Monday,August 05, 2019 4:51 PM 1 of 1