524 Vikings Ln ACRS19-0272 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r ACRS19-0272
PERMIT
ISSUED: 8/15/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/11/2020
MUST CALL INSPECTION • • • 1 247-5814 BY 4 PM FOR + INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK*
MECHANICAL RESIDENTIAL
524 VIKINGS LN HVAC HVAC - 1 A/C, 1 AHU, 3 TON $3500.00
TYPE OF
• • GROUP:
I - i
170703 0278 SEASPRAY
COMPANY: ADDRESS:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
710 ADDRESS:
SHARKEYAGNES H LIFE
524 VIKINGS LN ATLANTIC BEACH FL 32233-4151
ESTATE
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 4SS-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 33000 $24.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 8/15/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
' ACRS19-0272
PERMIT
r'
ISSUED: 8/15/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/11/2020
STATE DCA SURCHARCE 455-0000- 8-0600 0
20 $2.00
TOTAL: $107.00
Issued Date:8/15/2019 2 of 2
"ALL IHFOWATiUN
Mechanical Permit Application �� ;,HIrS�I�t1TEt)IH
City of Atlantic Beach Build rig DepLirtment G"yI0EQUiRco,
r;00 Seminole Rd, Atlantic Beach, FL 32233
�C� aO, � o 7�
s.c•
Phone: (904) 247-5826 Email: I W-Idinf, (���nt tllr_t ,ik; is , PERMIT It:j. L.. l--
tnalxS L PROJECT VALUE $ iiSti .
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI iV(REQUIRED)
Q.IIr l+ondling Cquipment Qrrty ❑ Cordenser Only [3 Art Handling Unit& C(mdenser
Air C^Rr:itioning. Unit Quantity Tons tier Unit Seer Ratio (REQUIRED)
Heat: Unit Quantity RTUs per Unit g
Duct SystCms; Total CFM �__
41 We"?,pta"1
REPLACE MENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARS�NEQ J1Rir 0ing Unl & ndeoser
C)Ay I I(Jnr�lling Equipmer,t Gnly ❑ Cond�efrser•Onty
Air Cund.zioning: Unit Quantity Tans per Unit -1--
Heat:
_Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
Duct SVstPnnS: Total CFM
FIRE PREVENTION {Requires 3 sets of plans)
Fire Sprinkler System Quantity 3 sets of plans)
FireStandpipe Quantity _ (Requires
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 r7MIISCELLANEOUS:
Prefl.,n•."-+tect Fireplace (Qty} Automobile Lifts
Bailers BTUs
Caws Piping Outlets _ - "'—'—
Elevators/Escalators
❑AL1 c)THER GAS PIPING Heat Exchanger
Quafllity of Outlets Pumps
k Vents wall Furnaces ___ Refrigerator Condenser BTUs
h t�;a:cr Heaters solar Collection Systems _
Tanks (gallons)
W ell s -------�-*�
Elk.
pp. ::, ;,,, ,,j void if work does not commence-am within a sir month period or work is suspended or abandoned"or six months. I herrh•e
i vrtrfy Zi : i .aa read,hi%appi.catioel and know the same to be true and correct. All provisions or laws and ordinances govr.mirgthis
work e, i flplied v,-lh whether u>eclfled or not. The prrnit does not give authority to YAolitc the:provisions of any other state or
1oC:►lly'r: . I f'^5'(ill:ianorthrr:,rfarmant+!ofconstructton.
Phone Number,
Owner Name
Mt*chari�al Cor*npanv SQ�?^4Rd�fAT - -_ . - __ .—
Off�re Phone; � ,t pt►x,Z+�l •.,�.:f`f'3.
Cit IAy aC..� '1r1r 1f��State: ZIP:� .2JV�--
Co. Adds ••• =� y•
" state Certification/Registration 4
Llrcnse Ho#der:
StsitLl_tAet�l:�cir'�:�i- _
Notarized S,unature of License Holder
,
_ 3Q i . in the State Or FluI-100,
Tht fore; Q instrument was atknowiedged before me this �diy of `f
County OtsVFSA.-- -- Signature of Notary Public
RICHARD L YOA6'IUN9 (rJ Personally Known OR( )Produced identification
,r.aa.an t 01;i� nss Type of Identification upaared 14111.8
r i•:ru9 JIV�'�•=�=�
I
I'.1•. :�
�S
J
Cash Register Receipt Receipt Number
1 •
City of
Atlantic Beach •
DESCRIPTION '
AID
PermitTRAK $107.00
ACRS19-0272 Address: 524 VIKINGS LN APN: 170703 0278 $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 33000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9854 $107.00
Date Paid: Thursday, August 15, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 050804
Printed:Thursday,August 15, 2019 1:55 PM 1 of 1
TPm1