1633 Selva Marina Dr ACRS19-0331 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r s ACRS19-0331
PERMIT ISSUED: 9/23/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/21/2020
MUST CALL INSPECTfON PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, OF ! OF ORDINANCES .
ALL CONDITIONS OF •
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 . ' • •N: VALUE OF •
new 1.5-ton 17.2K-BTU AHU
MECHANICAL RESIDENTIAL
1633 SELVA MARINA DR HVAC & replace 2-ton 18.4K-BTU $10000.00
AHU
TYPE OF
ZONING: :D •
• • GROUP:
171993 0000 SELVA MARINA UNIT 05
COMPANY: ADD'
DONOVAN HEATING & AIR JACKSONVILLE
CONDITIONING 315 6TH AVENUE SOUTH BEACH _7 STATE
FL 32250
• ADDRESS:
FERGUSON MICHAEL ALAN 1633 SELVA MARINA DR ATLANTIC BEACH FL 32233-5615
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 455-0000-322-1000 3.5 $24.00
FURNACESAND HEATING 455-0000-322-1000 35600 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 9/23/2019 1 of 2
STS'a1,yr�s MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r s PERMIT ACRS19-0331
ISSUED: 9/23/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/: 1/2020
STATE DCA SURCHARGE 455-0000-208-0600 7 $2.00
TOTAL: $107.00
Issued Date: 9/23/2019 2 of 2
Mechanical Permit Application "AU,INFORMATION
City of Atlantic Be jch Building Department HI(MLIGHTEDIN
8W Seminole Rd, Atlantic peach, FL 32233 `
Phone: (904) 247-5826 Email: B;Jil k119f1Depl rz T• ,e �S(� 033 f
ca�tV.uS PERfNIT it:
JOS ADORM. i v1 �.fyr� rnr+,► +r sa PROXCT VALUE j
*NEW AIR CONDI NONING & HEATING SYSTEM INSTALLATION AR/#(RFQUIRED)Equipment On/ ,
l+�r 1lpn+�rittg -- Uni&
Y D Condenser only ■ .1rr��Iandfing ng tJnif Canden5er
Air CrwUAi::ning: Unit Quantity I Tons per Unit
Neat, Unit Quantity I BTUs per Unit
Duct `yitum%; Total CFM �"�"� — 1- Seer Rating (REQUIRED)
REF'I,S 'I'�;tf"IT AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARJ#fRFQt11RIFDJ_►VI a£^cf
4 p Y D Condenser orlfy ■Air HonoWng Unit& Condenser
Air coo ;ariUning: Unit Quantity Tons per Unit
Heat Unit Quantity l BTU's Per Unit Seer Rating IfRfO IRFD1.1j:,,z
Durr�.i,aHrn : Total CFM
FIRE PREVENT)QN
Flrt.-Spril>k;t{r System Quantity �Requifes 3 sets of plans)
Flrr Standpipe Quantity _ (Requires 3 sets of plans)
Underg.-nund Fire Main Value (Requires 3 sets of plans)
FIrt! +)ro Cdbinets Quantity sTW�� {Requires 3 sets of plans)
Can,rn'•ciaj rfoads Quantity (Requires 3 sets of plans}
FlrL,Suflprl!Won Systems Quantity (Requires 3 sets of pians)
[FIRE PLAICES O MISCELLANEOUS
Pretabrica ed Flreplaee(Qty)• _ Automobile Lifts {
Game Piping Outlets Boilers BTUs
Elevators/Escalators _
❑ALL OTliEA GAS PIPING Heat Exchanger
Qua•Ir::: 0' U0;,t'ets Pumps
Ii bo It. i z l urnAttS Refrigerator Condenser HTUs_
+' l Solar Collection Systems
Tanks(gallons) -
OTHL-l", 'Welts
PE'11 ' t,. mid f warn does not commence within r+ sax month period or work•s suspended or 7dandoncd for SIR months. l herrhy
i-eatl thls app.icbllor.and Know the same to Ottrutrand correct. All provisions of saws and oedinances governing ttu
work ;ed W111'whethe,,pecfied or rlot. The permit dost not give authority to violate the provisions of any other state or
I01.,l .. �n or the pe+/fOrinanCe of tonst'rutrlon.
Owner ' ,, SA. EtwrCnu ry i;`_ Phone Numher,
McCtian;r ,, rnaany,
Fax
Co.Acd,•:: '�� lb' .a4 City: ..lAn 9,�ac�i'J � State:! 711;
4ICIInse Hr,Idvr:_y�`.,,'Ljaxi ;jy� _�nom, .tate Certification/Reglstratlon#
Akttrrl.,ed Sicgnorrare of license Holder
The fmt:c ,c'inp lrLlMenr acknowledged before me this t daof 1, .
Count•: ..' UUP �� y �• i-,V 20_'a, in'the State of Flor da,
fto Slgnat Lire of Notary Public. ;�.y,;
ACR4ADYa l TC pvAb 5" ( I Personalty Known OR [ I Produced Identification
.� C+lrnssbntGGII96dS lyre of Idantlficatran:
„7✓ 6�.WIlwtrgfiYso,r �} r01! UPC f. IJ;s+.s
7 Cash
ri
City
of
��Jii Jr
DESCRIPTION • CITY PAID
PermitTRAK $107.00
ACRS19-0331 Address: 1633 SELVA MARINA DR APN: 171993 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 35600 $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
TOTAL14
$107.00
Date Paid: Monday, September 23, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 045456
Printed: Monday,September 23,2019 12:18 PM 1 of 1 iP