714 Aquatic Dr ACRS19-0283 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0283
I' a Vr
ISSUED: 8/20/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/16/2020
CALL
INSPECTION
MME LINE
a , I 247-5814 BY I • . • DAY • .
ALL WORK CONFORM . CURRENT • EDITION 1 FLORIDA BUILDING
CODE, NEC, • AND ATLANTIC • J CODE ORDINANCES .
ALL
CONDITIONS
, i • PERMIT
• • • PLEASE
J , 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.
ADDRESS: PERMITTYPE: DESCRIPTION:----- VALUE OF WORK:
714 AQUATIC DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $3831.00
HVAC TON
TYPE OF
ZONING: :D •
• • GROUP:
171818 5238 AQUATIC GARDENS
COMPANY: ADDRESS:
COMPLETE AIR SYSTEMS 1721 FOREST BLVD JACKSONVILLE FL 32246
-------------
OWNER: ADDRESS: CITY: STATE: ZIP:
BENNETTTERROLYN 5187 CLAPBOARD CREEK DR JACKSONVILLE FL 32226
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 4S5-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 4SS-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: $99.00
Issued Date: 8/20/2019 1 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 714 Aquatic Dr. 32233 PROJECT VALUE$ 39 S t
Fj NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑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
�✓ REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) (o I
❑Air Handling Equipment Only ❑Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit Z S
Heat: Unit Quantity BTU's Per Unit 3c) oL)J 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 (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:
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: �C+J�1,/1 6enap4J Phone Number: gdf-2�o rj2,7
Mechanical Company: complete Air Systems,Inc. Office Phone: (904)298-4489 Fax(904)268-2296
1
Co.Address: 11511 Summer Haven Blvd N City: Jacksonville State: FL Zip: 32258
License Holder: Brian Keith Toole State Certification/Registration# CAC1814404
Notarized Signature of License Holder"
The foregoinginstrument was acknowledged before me this_ day f ASC t � 20 (�in the State of Florida,
County of ) `'J G\
Signature of Notary Public
f 4fersonally Known OR[ i Produced Identification
Type of Identification:
Updated 10/9/18
r LEIGH ANNA RICHARDS
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* * Commisslon#GG 324451
'. oma Explres April 16,2013
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