568 Seaspray Ave ACRS19-0291 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r isACRS19-0291
PERMIT
ISSUED: 8/23/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/19/2020
MUST CALL INSPECTION • • • 1 i PM FOR • •
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
■ OF • 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
568 SEASPRAY AVE HVAC HVAC- 1 A/C, 1 ANH. 3 TON $4700.00
TYPE OFBUILDING USE
ZONING: : . •
• • GROUP:
170703 0424 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
• ADDRESS:
ERNST DANIEL C 568 SEASPRAY AVE ATLANTIC BEACH FL 32233
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34600 $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 455-0000-208-0600 �:::F 0 $2.00
Issued Date:8/23/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
J id
PERMIT ACRS19-0291
ISSUED: 8/23/2019
CITY OF ATLANTIC BEACH EXPIRES: 2/19/2020
TOTAL:$107.00
Issued Date:8/23/2019 2 of 2
,;-6'ALL INFORMATION
Mechanical Permit Apptication :` WksHll'aHTFDIN
City of Atlantic Beach Building Department
• :;,_�iRA�f�>rtCtZtJ IR[p,
800 Seminole Rd, Atlantic Beach, Fl. 32233 �� L��SI� -��� j
` rrr —.-
Phone: (904) 247-5826 Email: B,,iil�J-,FiD�P-tCcoata.t.�s �Ei�r�nir N:
JOB ADDRESS' 'tire " AJti
f'ROJLCT VALLJL $-_'__t•?�r1F,::
[ NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI (RLQ Q irDNurtdtinfl llnir& Condense(
El Ivndirng Equipment Only 0 CondenserOrny
Air t:.r ,•,tioning; Unit Quantity _ Sons per Unit
HPaI,
Unit Quantity �____ BTUs per Unit Seer Rating (REQUffRED)
Duct � %tvrn$' Total CFM
,REPLACEMENT AIR CONOITIONING& HEATING SYSTEM INSfALLAT10N ARf#jREQUftfCDt1U Condenser nser
0 til,iitrndiing Equipment Only D Condenser Or. ■
Ar Air Conditioning: Unit Quantity Tons per Unit _ _.___ .-.
Unit Quantity t BTU's Per Unit t,y�,ce Seer Rating(REQUtt?f0) yta
H�:aC -
Ducl SystPMS: Total CFM
❑FIRE ptIEVENTION (Requires 3 sets of plans)
Fire`r.t'tr Kier System Quantity (Requires 3 sets of plans)
Fire Sta'idplipe Quantity
(Requires 3 sets of plans)
Undci t-o, ind FI re NtaIn Value Requires 3 sets of plans►
Fire Nn<e Cabmna-ts Quantity
Carr.rtt-.rc.al Hoods Quantity (Requires 3 sets of pians)
Fire Supp!eSSltSn Systems Quantity
(Requires 3 sets of plans)
FIRE PLACES
r7 MISCELLANEOUS:
Automobile Lifts
Prefabricated Fireplace(Qty) gp11ersBTUs
Gas P'c''r c Outlets — _
Elevators/Escalators
MALL CIT HER GABS PIPING Heat Exchanger
Quant :•,V of Outlets T _ Pumps
p ver
°;, ti .�b'aN Furnaces Refrigerator Condenser BTUs
r ,Va Nis _-_ Solar Collection Systems
#v
Tanks{gallons) --------
Wells
OTHER:
doned for six
k is
Permit t;c;;m t•i vola di work PIic.110f1commence
ar%1 know thr,Isoma to hr•truepandnd or orrw,f Ail pruovislariO f(wiry rand ofdinance govern,rgthishr
ccrt;ty th;,t r r'.;:ue reed tntS w"el er
work wi it'wr :rrnpiicd with w�tr�hr;r specified or not. The penllrt docs+40t dive authority to 4tolatc the orovisiani of any ether state or
local I.tw *cpnl.tt on construction or ii,,e perinrmance of construetbon
Phone Number
Owner N-11-11; ...�--
Offrce• Phonetti ;e4aft �
Mt:iii ,d•... .''tmprinV• _t:.�tisC�[w�.�cA.�—(--J�,.t*� .......--w. ytar�. .zi
R'
cio Adrdrr jL4._ c
City. � a�
state Certi+tcatronJRtki+.tratiun 0 �----
tkense Holderlt_„Ar^. �tiY ?
Notorued Sittnorure of License Holder `-'i
- _oday of • r � 201u_,,in the Stab of Florida,,
The t•, ir1strument was acknowledged before me this
Signature of Notary Public
-,s RLl=
Tu1fPrOr+S (,,
Type of
personally Known OR I l Produced Identification
' 1t�tS f identification:
1pG _ u,o�r.aia/yira
Cash Register Receipt Receipt Number
J
City of
R9921
DESCRIPTION
• QTY PAID
PermitTRAK $107.00
ACRS19-0291 Address: 568 SEASPRAY AVE APN: 170703 0424 $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 34600 $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 . . . $107.00
Date Paid: Friday, August 23, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 020983
Printed: Friday,August 23, 2019 9:24 AM 1 of 1 �>