1810 Sevilla Blvd #211 ACRS19-0333 r ' ''''`-„, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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7- ACRS19-0333
��” ,.. PERMIT
ISSUED: 9/26/2019
c,;l,;, CITY OF ATLANTIC BEACH EXPIRES: 3/24/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1810 SEVILLA BLVD 211 MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2 TON $3190.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169399 0546 SEVILLA CONDOMINIUM
01
COMPANY: ADDRESS: CITY: STATE: ZIP:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207
LLC
OWNER: ADDRESS: i CITY: STATE: ZIP:
GOETZ FAMILY TRUST 1015 ATLANTIC BLVD #337 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 9/26/2019 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#: RC,i`S t c `
C)7:33
JOB ADDRESS: 1810 Sevilla Blvd W Unit#211 Atlantic Beach FL 32233 PROJECT VALUE $3,190.00
❑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 pel Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
kiREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 14
0 Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.0
Heat: Unit Quantity 1 BTU's Per Unit 24,000 Seer Rating (REQUIRED)
Duct Systems: Total CFM
r1FIRE 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)
r1FIRE PLACES ('MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
1ALL 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:GOETZ FAMILY TRUST Phone Number: (904)536-1930
Mechanical Company' AVALON HEATING AND AIR Office Phone: (904)245-1818 Fax
Co. Address: 3665 SPRING PARK RD City: JACKSONVILLE State: FL Zip: 32207
License Holder: TIM ISPARYAN State Certification/Registration# CMC1249968
Notarized Signature of License Holder
The foregoing 'ns� trumenntt vs acknowledged before me this y of , 20 • -ate o - : 'da,
County of WSJ
Signature of Notary Public s A _
ur*•————KAREN SEIGER 4/Itir /
?�/•�� `; Notary P�Diic-State of Florida
Vela.
�• Cammissior AGG 340988 I [ ] Personally Known OR�(.�J'tsroduced Identification
_
.n N.Coma,Expires.u,r 7.2023 I Type of Identification:
3orcer tnroosh National Notary Assr. I Updoted 10/9/18
'ri�L�J flJi
S
Cash Register Receipt Receipt Number
�r r City of Atlantic Beach R10492
Ji /
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $99.00
ACRS19-0333 Address: 1810 SEVILLA BLVD 211 APN: 169399 0546 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $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
TOTAL FEES PAID BY RECEIPT: R10492 $99.00
Date Paid: Thursday, September 26, 2019
Paid By: AVALON HEATING AND AIR LLC
Cashier: CT
Pay Method: CREDIT CARD 059701
Printed:Thursday,September 26, 2019 11:34 AM 1 of 1
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