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703 Camelia St ACRS19-0310 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0310 PERMIT ISSUED: 9/11/2019 CITY OF ATLANTIC BEACH EXPIRES: 3/9/2020 MUST CALL • • • • • 1 + BY 4 PM FORaINSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' a BUILDING CODE, • AND OF ATLANTIC aCH CODE OF ORDINANCES . ALL • • OF PERMIT a • • PLEASE READCAREFULLY. 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: 703 CAMELIA ST MECHANICAL RESIDENTIAL replace 2.5-otn 30K-BTU $3100.00 HVAC AHL) TYPE OF • • GROUP: 170917 0030 ATLANTIC BEACH SEC H COMPANY: DD- AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207 LLC • A. r • ' FISHER ROBERT STEVEN 1087 TOWNER DR BOLINGBROOK IL 64440 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 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 4SS-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 9/11/2019 1 of 2 Mechanical Permit Application "ALL INFORMATION o r M HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. J 800 Seminole Rd, Atlantic Beach, FL 32233 -"-' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 703 Camelia St Atlantic Beach FL 32233 PROJECT VALUE $31104.00 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ❑Air Handling Equipment Only ❑ Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons pe)r Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 14 ❑Air Handling Equipment Only © Condenser Only El Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 2.5 Heat: Unit Quantity 1 BTU's Per Unit 30,000 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) FIRE PLACES r7 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 or the performance of construction. Owner Name:Robert Steven Fisher Phone Number: (904)343-2031 Mechanical Company: Avalon Heating and Air Office Phone: (904)245-1818 Fax_ Co. Address: 3665 Spring Park Rd City: Jacksonville State: FL Zip: 32207 License Holder: Tim Isparyan State Certification/Registration# CMC1249968 Notarized Signature of License Holder The foregoin instrumen was acknowledged be ore this��ay of in the f Florida, County of Signature of Notary Public KAREN SEIGER +4 Notary Public•State of Florida [ ] Personally Known OR(PI41roduced Identification COMMIssior.r GG 340988 My C -c:Jires.,�r •7.2023 Type of Identification: orrrr, Bonded thror.gh w,iora rotary Assr. Updated 10/9/18