343 Plaza ACRS19-0327 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0327
PERMIT
ISSUED: 9/20/2019
�9 CITY OF ATLANTIC BEACH EXPIRES: 3/18/2020
MUST CALL INSPECTION • i • 1 247-5814 BY 4 PM FORDAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ! + BUILDING
• ! AND CITY OF + NTIC BEACH CODEOF 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:
343 PLAZA MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $7100.00
HVAC
TYPE OF •
ZONING: : • •
• • GROUP:
170003 0000 ATLANTIC BEACH
• ADDRESS:
DONOVAN HEATING & AIR 315 6TH AVENUE SOUTH JACKSONVILLE FL 32250
CONDITIONING BEACH
• ADDRESS:
LOVE NANCY J 343 PLAZA ATLANTIC BEACH FL 32233-5441
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.
I --
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 $24.00
FURNACES AND HEATING 45S-0000-322-1000 20000 $24.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 9/20/2019 1 of 2
f
Cash Register Receipt Receipt Number
City of Beach R103•
DESCRIPTIONACCOUNT CITY PAID
PermitTRAK $107.00
ACRS19-0327 Address: 343 PLAZA APN: 170003 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 20000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL1 1 11
Date Paid: Friday, September 20, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 5
Printed: Friday,September 20, 2019 1:52 PM 1 of 1
TRAMT
Mechanical Permit Application "ALL INtURMATIONHIGHLIGHTED IN
;r City of Atlantic BCOLli Building, Department GRAY IS REQUIRED.
sUU Suminole Rd, Atlantic Beach, FL 32233 z7
Phone: (904) 247-5826 Email: 31,lilding-Depti:Scoah-us PERMIT It:
JOB ADDRESS: 343 RAGA PR0IFCT VALUE S 7,100:00
[�NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI 11 (REQUIRED)
El Au Handling Equipment Only D Condenser Orbe El Air HandAng Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit _
Heat: Unit Quantity BTUs per Unit_. . Seer R1tinN (REQWRED)
Duct Systems: Total CFM
[]✓ REPLACEMENT AIR CONDITIONING & HEA-ZING SYSi LIVII INSTALLATION Affil N tRf QU1RfD) `x1r"r 11
❑Air Hondhnq Equipment Only E3 Condenser Only p Air Handling Unit & Condenser
Air Conditioning: Unit Quantity I Tons per Unit 3'0
Heat: Unit Quantity i BTU's Per Unit 20,1100 Suer Rating(REQUIRED) 14.n::
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)
AFIRE PLACES []MISCELLANEOUS:
Prefabricated Fireplace (Qty) Autornobile Lifts
Gas Piping Outlets Boilers BTUs
EAI evato rs/E sca I at ors
DALL OTHER GAS PIPING Heat Exchanger —
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTUs
h water Heaters Solar Collection Systems
Tanks(gallons)
wells
✓ OTHER: NP LINESCT _
Permit becomes void If work dm not commence within a flv month period or work is ujN;wnded or abandoned cur Nis rnonthc. I herebV
rrrtify that I have reed this applicatirrn,md know the same to be true and-1 eec.t. Aal provisions of taws,and rrrrlunaryce3 governire.this
work will be complit-d with wh*thrtr specified or not The permit does not give authority to violme the provisions of any other cl.ate or
local law rcRul.ttlon construction or the performtmcu+of cwWruction.
Owner Name:NANCY LOVE ---. Ph.:,rie Number. :9041 55;t-e2116
Mechanical Cornpan'y: DONOVAN 14CAT AND AIH Off iCe phone; {9,^.,0124 -3783 F ix!1ii4., :17 5
Co.Address: 315 871-1 AVE S ---- City: JAx 9EAC `hale: F'� Lip: 33290
License Holder: WILLIAM DONOVAN State Gertification}Registration n cAc03.J(bl
1Vatari'red Signature of license Halder
ie toregowiq in,,trumt nt was acknowledges bPtore ine this_qday of; „,r ;ri ;, 20,l0ii in they 5-ate of Florida,
Sipnature of Notary Publit._.__.t �•• ' . -•v --
ReGII �MW L.rim persdnally Known OR( J Produced Identrtication
t. ;y 1 cAmrr" iitGo I I%MType of Identification
bl � EYWnr+x,t)1U,:'ilk) ,
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