311 5th St ACRS19-0282 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
- ` ACRS19-0282
PERMIT ISSUED: 8/20/2019
9 CITY OF ATLANTIC BEACH EXPIRES: 2/16/2020
MUST CALL INSPECTION PORM iJW�247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • • DA BUILDING
CODE, OF • OF ORDINANCES .
ALL CONDITIONS • APPLY, 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
311 5TH ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3 TON $6000.00
HVAC
TYPE OF
ZONING: :D •
• • GROUP:
169856 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING &AIR
• ADDRESS: CITY: STATE: ZIP:
WILSON THOMAS G III 311 5TH ST ATLANTIC BEACH FL 32233-5345
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.
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 4S5-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
Issued Date: 8/20/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0282
PERMIT ISSUED: 8/20/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/16/2020
TOTAL:$107.00
Issued Date:8/20/2019 2 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: 311 5th Street PROJECT VALUE $6,000,00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 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
EIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9894855
❑Air Handling Equipment Only ❑Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.0
Heat: Unit Quantity 1 BTU's Per Unit 36,000 Seer Rating (REQUIRED) 17.50
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 1 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:Megan Wilson Phone Number: (904)465-3419
Mechanical Company: Charlie's Tropic Htg and A/C inc Office Phone: 241-1788 Fax241-2172
Co.Address: 750 Mayport Road City. Atlantic Beach State: FL Zip: 32233
Ucense Holder: Charlie J Marks State Certification/Registration# CAC052431
Notarised Signature of License Holder
The foregoing instrument was acknowledged before' a this o?O day o4u ,320tl, in the State of Florida,
County of
AMY 'GRADY Signature of Notary Public
.f, Notary Public-State of F!ooda
Commission#00078050 [ ersonally Known OR [ ] Produce Identification
Mar My Comm.Expim M 1,2021
Type of Identification:
Bonded Nm As Nargnal noiuy Assn.
updtttPd 10/9irx
J
Cash Register Receipt Receipt Number
City ofAtlanticBeach • • •
DESCRIPTION • QTY PAID
PermitTRAK $107.00
ACRS19-0282 Address: 311 5TH ST APN: 169856 0000 $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 36000 $24.00
STATE SURCHARGES $4.00
STATE D B P R SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
'TOTAL FEES PAIBY • • : : . $107.00
Date Paid: Tuesday, August 20, 2019
Paid By: CHARLIE'S TROPIC HEATING & AIR
Cashier: CB
Pay Method: CREDIT CARD 2
op
Printed:Tuesday,August 20, 2019 10:32 AM 1 of 1