318 8th St ACRS19-0330 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0330
ISSUED: 9/20/2019
W09 CITY OF ATLANTIC BEACH EXPIRES: 3/18/2020
MUST CALL INSPECTION •NE LINE (904) 2+ + BY 4 PM FOR • INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
318 8TH ST A MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.S $3000.00
HVAC TON
TYPE OF
ZONING: :D •
• • GROUP:
169920 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE I'L 32207
LLC
• ADDRESS:
ROTH CHARLES B JR ET AL 117 8TH AVE S JACKSONVILLE FL 32250
BEACH
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.
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 4S5-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 4S5-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:9/20/2019 1 of 2
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#:
JOB ADDRESS: 318 8th Street#B Atlantic Beach FL 32233 PROJECT VALUE $3,000.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons pef Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑✓ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 7995113
❑Air Handling Equipment Only ❑ Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.5
Heat: Unit Quantity 1 BTU's Per Unit 30,000 Seer Rating (REQUIRED) 14.00
Duct Systems: Total CFM T
❑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 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
OTHER:
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:Charles Roth Phone Number: (904)864-1606
Mechanical Company: Avalon Heating and Air Office Phone: (904)245-1818 Fax
Co. Address: 3M Spring Park Rd City: Jacksonville State: FL Zip: 32207
License Holder: Tim Isparyan State Certification/Registration# CMC1249968
Notarized Signature of License Holder
The foregoing instru ent was acknowledged before me this ay of f 0 rlda
County of
Signature of Notary Public
rM•oyKAREN SEIGER
P ?�*' Notary Public-stale o',a, [ ] Personally Known 013,110roduced Identification
MyCommission D res G 340984 Type of Identification: b(_
9onded through Natiora'Not! s I Updated 10/9/18
s
f
Cash Register Receipt Receipt NumberCity of Atlantic Beach R10395
DESCRIPTION • Cay PAID
PermitTRAK $99.00
ACRS19-0330 Address: 318 8TH ST A APN: 169920 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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 • • 11
Date Paid: Friday, September 20, 2019
Paid By: AVALON HEATING AND AIR LLC
Cashier: CB
Pay Method: CREDIT CARD 7
Printed: Friday,September 20,2019 3:26 PM 1 of 1