399 5th St ACRS19-0264 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
IN
PERMIT ACRS19-0264
ISSUED: 8/8/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/4/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONOF •
CODE, AND CITY OF • 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 ADII)ktt�.. DESCRIPTION: VALUE OF WORK:
399 5TH ST MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 2.5 & $14845.00
HVAC 2 TON UNITS
TYPE OF •
ZONING: : • •
• • GROUP:
169881 0000 ATLANTIC BEACH
COMPANY: . • • • STATE:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
• ADDRESS:
MICHAEL AND MAUREEN 399 5TH ST ATLANTIC BEACH FL 32233-5345
WALSH
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 4.5 $32.00
FURNACES AND HEATING 455-0000-322-1000 50800 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:8/8/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0264
ISSUED: 8/8/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/4/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$119.00
Issued Date:8/8/2019 2 of 2
Mechanical Permit Application 4•All,tNTORMATION
la Hit;,HwiflTl o IN
City of Atlantic Beach building Department trt�yr�+izctuutl:c�,
800 Seminole Rd, Adantic 6eacli, FL 32233
y. Phone: (904) 247-5826 Email: Qv_[Idin -pdlcoab,us PERMIT R:
JOB ADPROJECT VALU[:DRESS; 8q9 ! -W rST
[]NEIN AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUlREV)
E3 Av Hondiing Equipment Only ❑ Condenser Only ❑ Air Hurtdling Voir& Condenser
Air Conditioning: Unit Quantity Tons per Unit _ _ -
Heat: Unit Quantity BTUs per Unit weer hating(REQIl1RfUJ ____
Duct Systems: Total CFM
=REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED(ctu lf;`tlQbtk:IRIB
❑Air Handling Equipment Only ❑Condenser Oniy ■A!r Handling Unit & Candenser
Air Comclitioning: Unit Quantity Z Tons per Unit
Heat: Unit Quantity,_ BTU's Per Unit jry S+yttr Rating (RFQU)Rf.DJ,� 11 --
Duct Systems: Total CFM
]FIRE PREVENTION
Fire Sprinkler System Quantity T (Requires 3 stats of plans}
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire llosc Cabinets Quantity {Requires 3 sets of plans)
Commercial Hoods Quantity IRequlres 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of pians)
FIRE PLACES OMISCEL.LANEOUS: a
Pretanric-ated Fireplace)Qty} Automobile Lifts
Gas Piping Outlets Bailers BTUs
Elevators/Escalators
QALL OTHER GAS PIPING Heat Exchanger
quant ty of Outlets Pumps ---
#Vented Wail Furnaces Refrigerator Condenser BTUs
d W,)tcr heaters _ Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit hri m*i Mold f wur 4;:�,r:riot commencr v,thiri a s=�month per.od or work s sucprnded or abandootd for illi months, I hurt y
b
certify i,,a I rave.reaa this applic"tion anis know thr same to be true and correct. All proviv.-ons of laws and ordinances governing thr.
work wil,ha r.OMPIied with whether specified Or riot. The permit does riot 0,v au-hordy to violate the provlstons of any other stall or
local low regolistlari constnKtion oe the performance of construction,
Owner Name, rr��tL
Phone Number:.11:�1i:.�f1�
Mechanical Cnmpan ` a Office Phone:
Y ,.�r'�13I15[�1_y1 "
city;r IA 'i r ..`..L
Co. Address: y y state.
tie�rtsR Halder:_¢ � �A�61�l.Jf li ... State CerttficationlReglstration ft
Natarifrd Slpnature of License Molder ✓' r:a. »• ? ;�"�`
The forrKcl^Q.nstrument was acknowledged bef❑re me this_to day 20je
L in the State of Florida,
County of 03AX& _ u
Signature of Notary Public •--- ---
RM,+t,A LTt7WKINS [y}Per,onally Known OR [ I Prnduced Identification
:�r S -teionJGC 114505 Typr of Identification:
upcored rV.I!R
i r�q/IM�vrKx.lel bl rl•i
Receipt Number
Cash
r) Register
City�r
of
Beach • • •• '
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $119.00
ACRS19-0264 Address: 399 5TH ST APN: 169881 0000 $119.00
MECHANICAL $115.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $32.00
FURNACES AND HEATING 455-0000-322-1000 50800 $28.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
• ' .981 $119.00
Date Paid: Thursday, August 08, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 1
00,
Printed:Thursday,August 08, 2019 10:46 AM 1 of 1