337 4th St ACRS19-0303 Replacement MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
i' ACRS19-0303
PERMIT
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ISSUED: 9/5/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/3/2020
I
INSPECTIONMUST CALL
• 904 • • NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT • OF • • NA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ , .
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:
337 4TH ST MECHANICAL RESIDENTIAL replace 2.5-ton 28.4K-BTU $4900.00
HVAC AHU
ZONING:TYPE OF REALIESTATE BUILDING USE
:D •
• • GROUP:
169835 0000 ATLANTIC BEACH
• ■ ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
- • ®■
ADDRESS:
GOELZ LARKIN L 337 4TH ST 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.
LISTOFCON ITI•NS
r
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 45S-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 45S-0000-322-1000 28400 $24.00
MECHANICAL BASE FEE 4S5-0000-322-1000 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: 9/5/2019 1 of 2
s
%„ MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r t PERMIT ACRS19-0303
ISSUED: 9/5/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/3/2020
TOTAL:$99.00
Issued Date: 9/5/2019 2 of 2
Mechanical Permit Application �LtINTO"ATi
HIGl�tFGxTEU i
City of Atlantic Beach Building DepartmentiaR>Q�IRf.� -.
300 Seminole Rd, Atlantic Beach, FL 32233 _
Phone: (904) 247-5826 Email: l3uildiD -Dept4coab.u, PERMrrit: AC,R-S lcj - 03D3
JOBAUi.?RESS: PROJECT VALUE$--"`�o�
L]NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0Ai Equipment Only p Condenser Only ❑Air Handling Unit& CQndenser
Air C.ondit-or np: Unit Quantity Tons per Unit
Heal: Unit Quantity _ 13TUs per Unit Seer Rating{REQUIRED)
outitSyste-TI s: Total CFM
WREP ACFIVIENTAIRCONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) CAI S49 ir,
:r.nr}ting Equipment Only 0 Condenser only ■Aft Handling Unit& Condenser
•itxwi ng: Unit Quantity I s Tons per Unit z.s
Hc_ Unit Quantity i t BTU's Per Unit_ Seer Rating tREQUIRED) 1 S
Total CFM
❑FIRE PREVENTION
Fire Sprinkler Systems Quantity (Requires 3 sets of plans)
Fire 5t-andpiFp Quantity (Requires 3 sets of pians)
Undar fni,nd il,e I'tain value (Requires 3 sets of plans)
Fir:? Fico t:a,inets Quantity (Requires 3 sets of plans)
corrrni-e--a1 floods Quantity (Requires 3 sets of plans)
Fire Sta-)-utvmoon Systems Quantity (Requires 3 sets of plans)
E]FIRE PtAC1ES ❑MISCELLANEOUS:
Prefalxr_aten Fireplace(QlY)- Automobile Lifts
Gas Pir:ing Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Uutlets Pumps
#Ver led `.v'a1, Furnaces Refrigerator Condenser BTUs
#1r`,Fater 111_�atcyrs Solar Collection Systems
Tanks{gallons)
wells
Peri _ :z cmt� s.r:tl it work does not commence within a six month Period or work Is suspended vw abandoned for six months. L hereby
cer,f. i-%w•rcc:d this appbcation and know the same to he true and correct. Ali provisions of rays and ordinances g9vemingthis
wor! .wro ed with whether specified or not. The permit does not g ve authority to violate the provisions of city other state or
local ation casstruction or the performance of const ruction.
Mawr•ur Na .NtA•t#1;.V4 :H _=,
..Phone Numh�r
P.9cct`rricrl
1:.3111pa'ly. _i7t)c�if]ti to tt C i rt• office Phone: } 3'3'1 ::, i }:: Fax
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Co State- f'c Zip:
licCr, _ i'z�,der ;tI l I.lANI !CjiAt:: State Certifitai ;,;Registration . ;?
Nain ,� Sfyn.:u{; of ricense Holder
The;urcf;-:1-- n sumo::wmt acknowledges oefore me:this A_day ofhU1CejdC ii _. 20 in the State of flgr do,
cou^c,�c! _1IdVPJ. it
Signature of Notary Pufriic tacj,�
JL (4 Personally Known OR( )Produced Identification
f z=C uwAjmiip1GG11M l pe of identificatitrn:
EEK hih►n,X1;21
f Cash
City of Atlantic Beach R100 •
DESCRIPTION • QTY PAID
PermitTRAK $99.00
ACRS19-0303 Address: 337 4TH ST APN: 169835 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 28400 $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 FEES PAID BY RECEIPT: R10069 $99.00
Date Paid: Thursday, September 05, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 051868
Printed:Thursday,September 05,2019 2:15 PM 1 of 1