699 Beach Ave ACRS19-0270 ''l MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0270
PERMIT ISSUED: 8/9/2019
CITY OF ATLANTIC BEACH
EXPIRES: 2/5/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE
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:
699 BEACH AVE MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2.5 $5900.00
HVAC TON
TYPE OF
ZONING: :D •
• • GROUP:
170119 0100 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING & AIR
•
ADDRESS:
SMITH WILLIAM TJR 699 BEACH AVE ATLANTIC BEACH [ L 32233
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
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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 455-0000-208-0600 0 $2.00
Issued Date:8/9/2019 1 of 2
rS�l;jr�:
Mechanical Permit Application **HIGHLIALL HIGHLIGHTED
ON
HIGHLIGHTED IN
j City of Atlantic Beach Building Department \ GRAY IS REQUIRED.
i 800 Seminole Rd, Atlantic Beach, FL 32233 ; C RS( 9 _ C) Z 7
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: (� c—Ayei PROJECT VALUE $
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 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
F-1 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) J1���0 q 7
❑Air Handling Equipment Only ❑ Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit d ��
Heat: Unit Quantity BTU's Per Unit 3UCV Seer Rating (REQUIRED) !�
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 (RequiYes 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES r7 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
I
ocal law regulation construction
/or the performance of construction.
Owner Name: 7 Phone Number:
Mechanical Company::-� ,hawlie- ��//G= Office Phone: a��—/7c�/ _Fax �v
Co. Address: f /�/ �G%YZ� /�'� City: zip: 333
License Holder: !! 5 State Certification/Registration#
Notarized Signature of License Holder l
The foregoing i trumme�nt was acknowledged bef me this Z day of � 2 /';� in th State of Florida,
County of �lL�
Signature of Notary Public
Q� X ELtZABEM R COLBY
fi*=CniWwatGG127897 [personally Known OR [ ] Pro uced Identification
• o`= Expires September 15,2021
'•.'Form°."••' B,&dTin Troy Fein Yxu<y"80418SIM Type of Identification:
Updated 10/9/18