1950 Beach Ave ACRS19-0312 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r ACRS19-0312
PERMIT ISSUED: 9/12/2019
oa 9r CITY OF ATLANTIC BEACH EXPIRES: 3/10/2020
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:
1950 BEACH AVE MECHANICAL RESIDENTIAL HVAC - DUCT SYSTEM ONLY $4050.00
HVAC
TYPE OFREALIESTATE BUILDING USE
ZONING. :D •
• • GROUP:
169526 0000 SECTION LAND
COMPANY: ADDRESS:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
• ADDRESS:
CLARK KARIN H 1656 SEA OATS DR 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 • i
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
MECHANICAL BASE EEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL: $79.00
Issued Date:9/12/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
( ,
PERMIT ACRS19-0312
ISSUED: 9/12/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/10/2020
Issued Date:9/12/2019 2 of 2
-r Mechanical Permit Application "ALL INFORMATION
;� HIGHLIGHTED IN
�r V.rJ City of Atlantic Beach Building Department GRAY IS REQUIRED.
' 800 Seminole Rd, Atlantic Beach, FL 32.233 RCQSI q - 03 z
Phone: (904) 247-5826 Email: Building-Dep coah.uc. PERMIT a:
J0E3 ADDRESS: 1960 130ACA AVe PROJECT VALUE $4.0W.00
N[:W AIR CONDITIONING & HEATING SYSTEM INS IALIATION ARI#(REQUMEO)
C1 ;;!r Hondfing Equipment Only ❑ i widensei Only 0 Air Hondlinrg Unit& Condenser
Air Conditioning: Unit Quantity__ Torg, ver Unit
Heat: Unit Quantity BTUs per Unit Soor Rating(REQU/RfDI
Duct Systems: Total CFM
(.]✓, REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLA fIUN AR1 EJ(REQUIRED)
❑Air Handling Equipment Only C3 Condenser Only MA Handling Unir& Cr)ndvoser
Air Conditioning! Unit Quantity Tons per Unit
Heat: Unit Quantity _ BTU's Per Unit Seer Rating/REQUIRED) _
Duct Systems- Total CFM
❑FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sore of pians)
Fire Standpipe Quantity (Requires 3 svts 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 sots of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile lifts _
Gas Piping Outlets -� Boilers _ _ BTUs
F levators/Escalator.~
ALL OTHER GAS PIPING Heat Exchangor �—
Quantity of Outlets Pumps
W Vented Wall Furnaces Refrigerator Condenser QT'LJ-,,
it Water Hcaters Solar Collection Systems
Tanks (gallons}
ti►vells
Q OT H E R: tkict• seem orNy
r'ermit hf-fomes void if work dooi not commence wtnir,a cox iiwr ,, porioc or worst a iospenavd or abardaned for s x months I heresy
eertifv that i h,►ve rc ici this applicwion and know thtt same to-"ti..t•.Jed co-rect. Alt prov,slon,JJI LJws ana ordinances aovemirR±t*!h
a•:ark will be::nmplJed with whether spe-rifit d or not, The perrnir row, •Lit Kivu authority to vtolalr,I-v prnvisiam o'any other stag•n•
IOU'law reguiAV0111 d:i11%%trUCt1011 or tie perform.ince of constructJor,,.
Owner Name:AI RI" Wo C L� k l�Qi"I !\ Phone Number. I90415-1&&W
Mechanical Company. Donovan ftol&Nr OffiCe Phone. (WJ{)241-3785 Fax-'904:24'-374 5
Co Addrps5 31b M Ave 5 City: .tackw.nvilin Be+arh Sate FL Lip: UM
License Holder: William Donovan Stats&C.ertJr ration/Registration H GAC019761
Notarized Signature of License Holder
The rffrFha>inR JnstrumrJnt r:a.R acknowledged befJa•r• mo this jnTday of °a« •Sin • 217) ttL, in the SLJLL L){Flor,da.
County of
S,pnature of Notary Publrr v�z.
wChARDL tc+urxltis Per-orally Known OR[ ] Prod.Jced Identification
C«nnr�Jur+I GG 119S6Jf
t 4Utl,n,tr 29,:Jt2t I ypr=of Identification:
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J1,eat 1 MU 1 n/fill Mraw"!00 NA J616 JDoSbrM J V9/1 A
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Cash Register Receipt Receipt Number
IN City ofAtlantic Beach •
DESCRIPTION • QTY PAID
PermitTRAK $79.00
ACRS19-0312 Address: 1950 BEACH AVE APN: 169526 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-07000 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL1 11
Date Paid: Thursday, September 12, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 026711
101�1'1
Printed:Thursday,September 12,2019 8:05 AM 1 of 1 i