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1918 Hickory Ln ACRS19-0326 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER PERMIT ACRS19-0326 ISSUED: 9/19/2019 ,yo,a,% CITY OF ATLANTIC BEACH EXPIRES: 3/17/2020 MUST CALL INSPECTION • • • 1 + 247-5814 BY + PM FOR + INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' + BUILDING CODE, OF + CH 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: 1918 HICKORY LN MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHYU, 1.5 $4715.00 HVAC TON TYPE OF ZONING: :D • • • GROUP: 172020 1314 SELVA MARINA UNIT 12B COMPANY: ADDRESS: ESTES HEATING & AIR, INC. 1954 Southside Boulevard Jacksonville FL 32216 • ADDRESS: ' BROWN LORRAINE 1918 HICKORY LN 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 CONDITIONS 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 4SS-0000-322-1000 l.S $8.00 FURNACES AND HEATING 4SS-0000-322-1000 18000 $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 4SS-0000-208-0600 0 $2.00 Issued Date:9/19/2019 1 of 2 Ts�'''rl� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER r t _.,t ACRS19-0326 PERMIT ISSUED: 9/19/2019 Vi ,; CITY OF ATLANTIC BEACH EXPIRES: 3/17/2020 TOTAL:$91.00 Issued Date:9/19/2019 2 of 2 ri.. Mechanical Permit Application "ALL INFORMATION (A s. HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 f-\C 2-S 9 - v3�w Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 1918 HICKORY LANE ATLANTIC BEACH,FLORIDA 32233 PROJECT VALUE$4,715.00 ❑NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI##(REQUIRED) ®Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED) Duct Systems: Total CFM ❑✓ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI l#(REQUIRED) 6245355 ©Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 1.5 Heat: Unit Quantity BTU's Per Unit 18 Seer Rating(REQUIRED) 15.00 Duct Systems: Total CFM ❑FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace(Qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators ❑ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks(gallons) Wells QOTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. OwnerName:LORRIE BROWN Phone Number: (404)403-4414 Mechanical Company: ESTES HEATING$AIC INC. Office Phone: (904)241-6727 Fax(904)241-34B2 Co.Address: 1954 SOUTHSIDE BLVD City: JACKSONVILLE State: FL Zip: 32216 License Holder: DAVID WAYNE ESTES tate Certification/Registration#CAC056641 Notarized Signature of License Holder The foregoininstru��'rt'►►ent was acknowledged before me this l� 'day of ��, 20 11 in the State of Florida, County of wJG\ Signature of Notary PublicE L15A RENEE MEDLIN y Public-State of FloridammiSsion�GG'31910 ] Personally Known OR [ ] Produced Identification u 1.Eao res Feb 20.2022 ough National notary Assn. !Pe of Identification: Updated 10/9/18 s s� r • RegisterReceipt Receipt • City of DESCRIPTION ACCOUNTQTY PAID PermitTRAK $91.00 ACRS19-0326 Address: 1918 HICKORY LN APN: 172020 1314 $91.00 MECHANICAL $87.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 2 $8.00 FURNACES AND HEATING 455-0000-322-1000 18000 $24.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 1 0 $2.00 TOTAL1 $91.00 Date Paid: Thursday, September 19, 2019 Paid By: ESTES HEATING &AIR, INC. Cashier: CB Pay Method: CREDIT CARD 13 Printed:Thursday,September 19,2019 3:27 PM 1 of 1 11