1025 Seminole Rd ACRS19-0323 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0323
ISSUED: 9/19/2019
,;. CITY OF ATLANTIC BEACH EXPIRES: 3/17/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF , D 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:
MECHANICAL RESIDENTIAL
1025 SEMINOLE RD HVAC HVAC - 1 A/C, 1 AHU, 2 TON $5400.00
TYPE OF
• • GROUP:
170095 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
• ADDRESS:
DIAS WILLIAM F 1025 SEMINOLE RD ATLANTIC BEACH FI 32233-5527
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
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22800 $24.00
MECHANICAL BASE FEE 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
Issued Date: 9/19/2019 1 of 2
"ALt INFORMATION
Mechanical Permit Application HIGHLIGHTF.DIN
t City of Atlantic Beach Building Uepartn-ient GRAY Iia RrQLJIRrD.
'- 800 Seminole Rd, Atlantic Beach, FL 32233
f Phone: (904) 247-5826 Email: Buildin -De t@coab u ; PERMIT IT:
JOB ADDRESS: 1025SEMINOLE RD PROILCI VALUE: S5,440.00
Q NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR1 9 fRFQ1J1i?F0)
D Air Handling Equipment Only ❑C€rndemer Only /1:r Handling Unit & f.onden.ser
Air Conditioning: Unit Quantity Tons per Unit __
Heat: Unit Quantity_ 8TUs per Unit_ Sear Rating (REQUIRED) _
E]UctSystems: Ictal CFM
[]REPLACEMENT AIR CONDITIONING & HEATING SYSTEM! INSTALLATION ARI#(REQUIRED) '.t104U7
❑Air Handling Equipment Only Q Cuirde,nser Unly El Air Handfing Unit & Condenser
Air Conditioning: Unit Quantity? Tons per Unit 2,0 _
Heat: Unit Quantity BTU's Per Unit 22,80 Seer Rating(REQUIRED) t&rat _
Duct Systems: Total CFM
F-1 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 set4 of plans)
Fire Suppression Systems Quantity (Requires 3 set,, of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Hoilers BTUs
Elevators/Escalators
[]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps _
tt Vented Wail Furnaces Refrigerator Condenser BTUs
Pt Water Heaters Solar Collection Systems
Tanks (gallons) _
W01IS
OTHER:
Pcr"it b€11 fomes void it work does not commence within a six month pcdod or work 1- .ucneynded�,r ob iiit.nneid for six rionths. t,ereoy
c�rtlty thit I hive redo thls application dnd know the Same lobe Irir, and cnrrer.t. all prnvisions or laws a^,d ordinances governinr th•s
y v:irk will be complied with whether specifier)or nna, Thg permit riots not sive autr,ority to violate the proviiiurs of my uther states cry
ta,.,ii law ri:.-Kiiiatkin crrnoow,,.I ,in ortho aerfnrm,tnce rilr.nnmuct,on,
Owner Name:WILLIAM DIAS Phare Number: 49041241.6021
Mechanical Company: DONOVAN BEAT AND AIR Offite Phare: (W)24*437116 - - Fax241 .174f-
Co
at .17»_,Co Address 31567H AVI ; City JAx BEACH State: FL Zip
tir.nnsk� Halder: WILLIAM DONOVAN State Cc•rtilica,iun/Registration 0 CACM19761
Notarized Signature of llcen-ie Holder E � �•---- __.
I he forego rg instrurnert was acknowledged ryes'nre me this day of 201", in the Sta€e of Florida,
County of _ q�, 'ar_
Signature of Notary Public
RICi"!*Tuu:x1K:, � ) Personally Known OR I I Produced Identification
-t e10�1°""114 t5k Type of Identification,
i °'
Elm=MrA Z21
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