740 Selva Lakes Cir ACRS19-0285 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0285
ISSUED: 8/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/17/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY 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:
740 SELVA LAKES CIR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, .75 $2900.00
HVAC TON MIN. SPLIT
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
• • GROUP:
172027 5852 SELVA LAKES UNIT 03
COMPANY: + .D• STATE:
TANNER & TANNER HEAT 3948 3RD ST S #4 S #4 JACKSONVILLE FL 32250
AND AIR BEACH
� TV = ADDRESS:
SWAN NADINE C 740 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4368
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 0.75 $0.00
FURNACES AND HEATING 4SS-0000-322-1000 9000 $24.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $SS.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:8/21/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Ivo Sdyc- (,,' PERMIT#t `
PROJECT VALUE $ )Ig(DC � ARI# b C► -7 j q6 &(�- REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit r-7 5
Heat: Unit Quantity I BTU's Per Unit 9� Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# 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.
Property Owners Name A ;„a �i Phone Number 56Y 3Wr a t1C- t8
Mechanical Company Tb, W r ¢ W X J L/vy, Office Phone a'/-1/7,5)-Fax
Co. Address: Sr1 � City J,,� State rL Zip
License Holder(Print): State Certification/Registration# 6116077
Notarized Signature of License Holder 1 -o O-q
efore me this day o 20
TONI GINDLESPERGER
' MAY COMMISSION a rr 924951 i nature of Not Public
- EXPIRES:October 6,2019 g
o Bonded Thru Notary Public Underwriters
_tel t