630 Jasmine St ACRS19-0335 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0335
PERMIT
ISSUED: 9/27/2019
CITY OF ATLANTIC BEACH EXPIRES: 3/25/2020
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:
630 JASMINE ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $3551.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170919 0530 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
THOMPSON STEVE 609 SURF SPRAY LN W PONTE VEDRA FL 32082
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 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 9/27/2019 1 of 2
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Mechanical Permit Application ••ALLINFoaMAnoN
, HiGHLIGHTE0IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ii- 0 ` °1 _0333
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT fr:
JOB ADDRESS: - _ r^ ^ PROJECT VALUE $ 4 '1
NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Hondling Equipment Only 0 Condenser Only 0 Air Handling Unr!& 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 d(REQUIRED) 'gin t$11
❑Air Handling Equipment Only 0 Condenser Only r2Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit -�
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED) r-+
Duct Systems: Total CFM
Elf If IRE PREVENTION
Fre 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
Gat Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
fl Vented Wall Furnaces Refrigerator Condenser BTUs
q Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
BOTHER:
Pc-mit oecomes void it=i,cr<does rot commence with n a sir month period n'wn-k is suspended or abandoned for six months. I hereby
cert h,that I have-cad this application and know the same to be true and correct AM previsions of laws and creirances governing this
work will be complied with whether specified or not. The permit does not give authority to violate the orovis oris o'any other state or
local law regulation construction or the performance of construction.
Owner Name: ryt lh.rs i Phone Number: ` ri- ?‘-040
Mechanical Company DOA(yetr{p,t + A', Office Phone:/04-Pt P9'. Fax
Co.Address: W..; 61' Ax j e.�..._Y City Lui,Ys...11r ems State: Pi Zip:
License Holder: s'-':i r ;rc,•r State Certification/Registration k `�'t' 39741
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this L day of rpknhv ,2t}Jj,in the State of Florida,
County of i'.,. c,%
Signature of Notary Public i ;! J —-
RiC iARD L DAMNS •
EA:vet O f 3;t19S45 Personal) Known OR Produced Identification
:Sr rr::= E.:urt�u112S,:Oz, f Y f I
`.i;ri tiAw.7rnv;gr.r..,..,v,144413.3•1 Type of Identification:
UOMtty:WW:!
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Cash Register Receipt Receipt Number
,r_x City of Atlantic Beach R10533
-4 OB 9`'
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $186.00
ACRS19-0334 Address: 10 10TH ST Unit 6 APN: 170237 0024 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1 1
1 $20.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
1 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS19-0335 Address: 630 JASMINE ST APN: 170919 0530 $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 36000 $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: R10533 $186.00
Date Paid: Friday, September 27, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 6
IA
Printed: Friday,September 27, 2019 1:54 PM 1 of 1 IF