158 Poinsetta St ACRS19-0298 Replacement MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
rJ ACRS19-0298
y s, PERMIT
ISSUED: 8/29/2019
;,;, CITY OF ATLANTIC BEACH EXPIRES: 2/25/2020
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MUST CALL INSPECTION PHONE LINE (904) 247-S814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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:
158 POINSETTIA ST MECHANICAL RESIDENTIAL replace 2.5-ton 301<-BTU $3000.00
HVAC AHU
TYPE OF
ZONING: :D •
• • GROUP:
170639 0010 SALTAIR SEC 03
COMPANY: .DDRCITY: -STATE:
ARCTIC AIR OF NE P O BOX 50496 JACI<SONVILLE FL 32250
FLORIDA, LLC BEACH
• ADDRESS:
STELZMANN ANDREW A 184 POINSETTIA ST ATLANTIC BEACH FL 32233-4018
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 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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: 8/29/2019 1 of 2
yt'1Li;,, Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
s
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 /� n
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: �`�rt� ��/��56/ / / �— % PROJECT VALUE $1 j+ DOD)—
❑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 /'7 p
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ! / 1 13
❑ Air Handling Equipment Only ❑ Condenser Only �Z Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity_ BTU's Per Unit ?vim 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)
F-]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 `co��nn�struction or the performanceofconstruction.
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Owner Name: ar 169 Po coE/CS Phone Number: C
Mechanical Company: �/��� i�/2 t)-r !�/or t�-e,::es Office Phone: go c{7 g� 71 apt
Co. Address: PL) ..�rr City: �T14 �C State: Zip: J'ZZ39
License Holder: l..kn r"1 ToL, f Stat rtific ion a istration# e-4L' (9 5-9 3 S�
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this <)-rl day o 20in the State of Florida,
County of �1•L�
Signature of Notary Public
"sYP"'• JENNIFER=qti.•• ;: [ ] Personally Known OR [ roduce
EXPIRES:October 27,2020 d Ide tifiGation
MY COMMISSION#GG 042984
:+ *= Type of Identification: ��c�/t JA► (-,!
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Bonded Thru Notary Public Underwriters Updated 10/9/18