1334 Main St ACRS19-0273 HVAC V1 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
I � PERMIT ACRS19-0273
v" ISSUED: 8/12/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/8/2020
MUST CALL INSPECTION • • • 1 247-5814 BY 4 PM FOR + INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ 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.
DESCRIPTION: VALUE 0
JOB ADDRESS: PERMIT TYPE: F WORK:
MECHANICAL RESIDENTIAL
1334 MAIN ST HVAC HVAC - 1 A/C, 1 AHU, 2 TON $3200.00
TYPE OF +
• • GROUP:
171052 0030 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
ISLAND HEATING AND AC 1146 Hamlet Court Neptune Beach FL 32266
• ADDRESS:
TITUS CHARLES MARK 13998 CANOPY OVERLOOK CT JACKSONVILLE FL 32224
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 45S-0000-322-1000 3 $24.00
FURNACES AND HEATING 45S-0000-322-1000 2400 $24.00
MECHANICAL BASE FEE 45S-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: $107.00
Issued Date:8/12/2019 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 �a[Zsfl _D Z73
JOB ADDRESS: 13 Sq M6,1%1 lj 1/CGf PERMIT#
PROJECT VALUE $ Ivo •o(5 ARI# 1? ?z 3 i c REQUIRED
Air Handling Equipment Only it Handling Unit & Condenser Condenser Only
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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit
Heat: Unit Quantity i BTU's Per Unit OCA Seer Rating l y�
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:
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 MCJA /'&s Phone Number 5,15 ` 3-:2 a
Mechanical Company Zr5tc-pli I�G Lfh aid AlQ Office Phone ,3'(07y9'Fax
Co. Address: TCD 11r-M61 Cl City StatoC6 Zip X266
License Holder(Print): �J,!(1-1-11 State Certification/Registration#Cr9d 176 v 9
Notarized Signature of License Holder
HEATHER DANIELLE BUPV&1
Before me this �- day of Ct(,JG�C.f S 2U
„ coMMlssloN FF inset Signature of Notary Public r�uoz!���
r�^^____,,JJEXPIRyE.SNAW 11 2020
••r�OF F�R`�O��Tlvu NA Pubic