1912 Oak Circle ACRS19-0232 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r � ACRS19-0232
PERMIT ISSUED: 7/25/2019
s,; CITY OF ATLANTIC BEACH EXPIRES: 1/28/2020
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, ' AND OF ATLANTIC BEACH • 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.
• : •N: VALUE OF •
1912 OAK CIR MECHANICAL RESIDENTIAL HVAC - DUCT WORK AND 3.5 $4500.00
HVAC TON A/C ONLY
TYPE OF •
ZONING: :D •
• • GROUP:
172020 1254 SELVA MARINA UNIT
12A
COMPANY: ADDRESS:
D F M MAINTENANCE LLC 3352 TENNIS HILLS LANE JACKSONVILLE FL 32277
• ADDRESS:
COOK THOMAS J 1912 OAK CIR ATLANTIC BEACH FL 32233-4506
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 1
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
AIR DUCT SYSTEM 455-0000-322-1000 1400 $20.00
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 0 $2.00
TOTAL: $79.00
Issued Date:7/25/2019 1 of 2
Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 Q
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: &C1Z5tq-
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date:
Project Address:A 9
Contractor/Contact Name:
Contact Phone: nl� kAS to Email: CA&MT
Description of Proposed Revision/Corrections:
RECEIVE[
fA H rig l -44- 8 z � Tnent
I affirm the revision/correction to comments is inclusive igilfyef*tMAftaftach, F
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
\/r No ❑ Yes (additional s.f. to be added: )
• Will propos-revision/corrections add additional increase in building value to original submittal?
El No *Yes (additional increase in building value: $ /� ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 6�RS(q—OZ3Z
JOB ADDRESS: A+ iR-AVD�ROJECT VALUE $ 1,5-0 0
❑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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) gZ112(DY D
P'Air Handling Equipment Only ❑ Condenser Only El Air Handling Unit& Condenser
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 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-IFIRE 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
F-JOTHER: 77-71
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: -ThOYVL A 5 Co v Phone Number: 23i-S 71 - S-32S
Mechanical Company: nACti1 01elnGtn Com- Office Phone: QOq" Fax
Co. Address: 3?)5a 7 Lvv\ 5 H I R5 Lin City: -��CkX. Sta/teFl. Zip: 3ZZ7�
License Holder: W-t (,C--ecl State Certification/Registration # SLI 81 56r7q
Notarized Signature of License Holder �Z---�
The foregoing i trumentp , d
as acknowledged before me this 1ay o 20�� in the State of Florida,
County of
Signature of Notary Public
:►��' DALYS ALICEA AMY COMMISSION 8 FF9806g5 Personally Known OR [ ] Produced Identification
' t T pe of Identification: ; Y
�w EXPIRES April 10,2020 7
(107)392-0153 FbrKwNolaryser"com
Updated 10/9/18