1969 Brista De Mar Cir ACRS19-0321 Relocate Duct MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
, ACRS19-0321
PERMIT ISSUED: 9/18/2019
19' CITY CITY OF ATLANTIC BEACH EXPIRES: 3/16/2020
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:
1969 BRISTA DE MAR CIR MECHANICAL RESIDENTIAL RELOCATE ON DUCT AND $1995.00
HVAC DUCT MODIFICATIONS
TYPE OF
ZONING: : . •
• • GROUP:
169506 1670 SELVA NORTE UNIT 02
COMPANY: ADDRESS: '
COOLER BEAR HEAT&AIR 864 18TH ST N JACKSONVILLE FL 32250
LLC BEACH
- OWNER: �� ADDRESS:
KANE PHILIP B 1969 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4525
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
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL:$79.00
Issued Date:9/18/2019 1 of 2
�sasyL"r�� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0321
ISSUED: 9/18/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/16/2020
Issued Date:9/18/2019 2 of 2
jli.wk;;, MMechanical Permit Annnliction "ALL INFORMATION
M HIGHLIGHTED INCity of Atlantic Beach Building Department GRAY IS REQUIRED. 5800 Seminole Rd, Atlantic Beach, FL 32233 C�S(q , C)Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: !9Gg Br• s /*4— PROJECT VALUE$ i99S"
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 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)
Air Handling Equipment Only 0 Condenser Only p 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 DR A /V►�d,Ir. C& +(„r,
,Pe 10 ca.4P_ l 4-�•„r.•%
❑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 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:
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: 6” 4 ��s�+�u�a -- Phone Number: 3 8L 'G34fd'
Mechanical Company: NAAI±& Office Phone: 9exs S7L-9;619 Fax
Co. Address: R- .&q 18a-5'9,N City: Zy- 6 ez-- State: R Zip: 52z=
License Holder: Stat Certification/Registration# C44C 1dP/d?S*
Notarized Signature of License Holder
The foregoi trument w s acknowledged before me this f 20n the State of Florida,
County of
Signature of Notary Public
TONiG1NDLESPERGER rsonally Known OR [ J Produced Identification
MY COMMISSION r FF 924951 Type of Identification:
EXPIRES:October 6,2019 Updated 10/9/18
c..'N Bonded Thn;Pilary Public Undewiters