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719 Atlantic Blvd ACRS19-0276 Dunkin ri1''�'%� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER s� ACRS19-0276 PERMIT v" ISSUED: 8/15/2019 CITY OF ATLANTIC BEACH EXPIRES: 2/11/2020 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 , D 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: 719 ATLANTIC BLVD MECHANICAL RESIDENTIAL DUNKIN DONUTS - HVAC -2 $15000.00 HVAC A/C, 4 TON EACH TYPE OF . BUILDING • • GROUP: 1776S30010 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: Jax Refrigeration, Inc. 1529 S. 3rd Street Jacksonville Beach FL 32250 • ADDRESS: ATLANTIC SAILFISH LLC 500 S 3RD ST JACKSONVILLE FL 32250 BEACH 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 8 $64.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.44 STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.29 WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00 Issued Date: 8/15/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER r PERMIT ACRS19-0276 ISSUED: 8/15/2019 CITY OF ATLANTIC BEACH EXPIRES: 2/11/2020 TOTAL:$234.73 Issued Date: 8/15/2019 2 of 2 ALL =• INFORMATIONMechanical Permit Application HIGHLIGHTEDIN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 Pk0-(Z5 Z 7 Phone: (904) 247-5826 Email: E31-li;d:!in--Dept@coab.us PERMIT#: JOB ADDRESS: 719 Atlantic Blvd Atlantic Beach FI 32233 PROJECT VALUE$15,000.00 ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only ©Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED) Duct Systems: Total CFM ❑✓ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 212535736 0 Air Handling Equipment Only El Condenser Only E3 Air Handling Unit& Condenser Air Conditioning: Unit Quantity 2 Tons per Unit 4.0 Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED) 14.00 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 (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 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' Remove and replace(2)RTU's-Modelo 50FC-A05A2B5-OAOAO-Manufacturer Carrier 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:Dunkin Donuts Phone Number: (904)241-6603 Mechanical Company: Sax Refrigeration Inc Office Phone: (904)249-1400 Fax(904)249-2400 Co.Address: 1529 south 3rd street City: Jacksonville Beach State: FL Zip: 32250 License Holder: Mark Lowery Sttrti�mortification/Registration# CMC1249340 Notarized Signature of License Holder The foregoing instrument was acknowledged before me this day of k\'k0A ,20\ in the State of Florida, County of )N" 1 ` r Signature of Notary Public CRYSTAL KEELER NOTARY C COMMISSION a GGi7029 Personally Known OR[ J Produced Identification Pua"r ' EXPIRES July 31,2020 rype of Identification: STATE OF FLORIDA. BONDED THROUGH Updoted 10/9/18 wy RLI INSURANCE COMPANY • . Receipt I City of Beach R9850 S DESCRIPTION ACCOUNTQTY PAID PermitTRAK $234.73 ACRS19-0276 Address: 719 ATLANTIC BLVD APN: 177653 0010 $234.73 MECHANICAL $119.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 8 $64.00 STATE SURCHARGES $5.73 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.44 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.29 WORK WITHOUT PERMIT $110.00 WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00 TOTALPAID BY RECEIPT: R9850 $234.73 Date Paid:Thursday, August 15, 2019 Paid By:Jax Refrigeration, Inc. Cashier: CT Pay Method: CREDIT CARD 049419 Printed:Thursday,August 15,2019 10:19 AM 1 of 1 top mwcr