1655 Selva Marina Dr ACRS19-0281 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0281
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ISSUED: 8/20/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/16/2020
MUST CALL INSPECTION PHONE1 • PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION (2017) OF THE FLORIDABUILDING
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: DESCRIPTION: a OF • '
MECHANICAL RESIDENTIAL
1655 SELVA MARINA DR HVAC HVAC- 1 A/C, 1 AHU, 5 TON $3500.00
ZONING:TYPE OF REALIESTATE 1 BUILDING USE
SUBDIVISION:
• iGROUP:
171995 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS: CITY: STATE: ZIP,
BOLD CITY HEATING AND 837 Mendoza Drive Jacksonville FL 32217
AIR INC
! ADDRESS: CITY: STATE: ZIP:
SAPIA PETER C 1655 SELVA MARINA DR ATLANTIC BEACH FL 32233-5615
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 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
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
Issued Date:8/20/2019 1 of 2
Mechanical Permit Application '•HIGHLIALL HIGHLIGHTED
ON
�,� HIGHLIGHTED IN
° City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
2�
°i`19)" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1655 Selva Marina Dr PROJECT VALUE$3,500.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
11 Air Handling Equipment Only E3 Condenser Only El 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 ARI1f(REQUIRED) 9658620
❑Air Handling Equipment Only O Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 5.0
Heat: Unit Quantity 1 BTU's Per Unit 60 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) v
Fire Hose Cabinets Quantity (Requires 3 sets of plans) \
Commercial Hoods Quantity (Requires 3 sets of plans) `vN
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
F-JOTHER:
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:Chad and Mary Beth Johnson SCS. Q. Phone Number: (904)448.2462
Mechanical Company: Bold City Heating and Air Office Phone: (904)379-1649 Fax
Co.Address: 6900 Philips Hwy 52 City: Jax State: FL Zip: 32216
License Holder: Mirza Pilakovic State Certification/Registration# CAC1818833
Notarized Signature of License Holder
The foregoipg Instrument was acknowledged before me thisday 20n, in the State of Florida,
County of "4LL� Ili
Signature of Notary Public `—
"�' EMINA PILAKOVIC
Personally Known OR[ J Produced Identification
MY COMMISSION 0 GG086740
� « EXPIRES March 26,2021 Ype of Identification:
Updated 10/9/18
151
• sh Register Receipt Receipt Number
City • Beach • • • •
•
Aw
DESCRIPTION • QTY PAID
PermitTRAK $127.00
ACRS19-0281 Address: 1655 SELVA MARINA DR APN: 171995 0000 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 45S-0000-322-1000 60000 $28.00
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 . . • $127.00
Date Paid: Tuesday, August 20, 2019
Paid By: BOLD CITY HEATING AND AIR INC
Cashier: CT
Pay Method: CREDIT CARD 076704
Printed:Tuesday,August 20,2019 3:19 PM 1 of 1