1657 Seminole Rd ACRS19-0259 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
f PERMIT ACRS19-0259
ISSUED: 9/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/23/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ! + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1657 SEMINOLE RD MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 5 TON $12850.00
HVAC
OF !
ZONING: : ! •
• • GROUP:
169564 0030 OCEAN GROVE UNIT 01
COMPANY: ADDRESS:
COOL R US 6900 PHILIPS HWY SUITE 46 JACKSONVILLE FL 32216
• ADDRESS:
FIN KLEA ROBBY JAY 1657 SEMINOLE RD 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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 S $40.00
FURNACES AND HEATING 45S-0000-322-1000 60000 $28.00
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
TOTAL:$127.00
Issued Date: 9/25/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0259
ISSUED: 9/25/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/23/2020
Issued Date: 9/25/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
M HIGHLIGHTED IN
^' City of Atlantic Beach Building Department GRAY IS REQUIRED.
r 800 Seminole Rd, Atlantic Beach, FL 32233 p C� f17
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ' `o-RS L l 4
JOB ADDRESS: 1657 SEMINOLE RD,ATLANTIC BEACH,FL 32233 PROJECT VALUE$12,850.00
NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 10093501
❑Air Handling Equipment Only ❑Condenser Only ❑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#(REQUIRED) 10093501
❑Air Handling Equipment Only ❑Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 5.0
Heat: Unit Quantity 1 BTU's Per Unit 60,000 Seer Rating(REQUIRED) 20.00
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
MALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
f-JOTHER:
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:ROBBY FINKLEA Phone Number: (850)2sa-3171
Mechanical Company: COOLRUS,INC Office Phone: (904)281-2108 Fax( )281-2109
Co.Address: 6000 PHILIPS HWY STE 3 City: JACKSONVILLE State: FL Zip: 32233
License Holder: LEK GJOKA State Certification/Registration#CAC1815614
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me th s ay of J
/ 204 in the State of Florida,
County of
Signature of Notary Public
DEBRA;wi laMs [ ] Personally Known OR[�Q Produced Iden fication
•: NotaryPublc-S;ateofFlorlaa Type of Identification: r(UriNA i S LICcn,fa
Commission:GG 19i 982 Updated 10/9/18
My Comm,Expires May 5.2022
. Register
• • • • • • Number
l
City of Beach • •
DESCRIPTION • QTY PAID
PermitTRAK $127.00
ACRS19-0259 Address: 1657 SEMINOLE RD APN: 169564 0030 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
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 $127.00
Date Paid: Wednesday, September 25, 2019
Paid By: COOL R US
Cashier: CB
Pay Method: CREDIT CARD 2
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Printed:Wednesday,September 25,2019 9:25 AM 1 of 1 ,I�