162 Ocean Blvd ACRS19-0341 (r/
\ c., MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,- 41110J )
t'' ACRS19-0341
� '' PERMIT
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A` n
w � ISSUED: 10/3/2019
, �,��,; CITY OF ATLANTIC BEACH EXPIRES: 3/31/2020
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:
MECHANICAL RESIDENTIAL
162 OCEAN BLVD HVAC HVAC - 1 A/C, 1 AHU, 2 TON $3300.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170203 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
CONDITIONING 315 6TH AVENUE SOUTH BEACH FL 32250
OWNER: ADDRESS: CITY: I STATE: ZIP:
ALTERI ALLAN R 1639 OCEAN BLVD ATLANTIC BEACH FL 32233-5858
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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 10/3/2019 1 of 2
�S''il. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
S . ACRS19-0341
ii:
� PERMIT ISSUED: 10/3/2019
\;r,. ;, , . CITY OF ATLANTIC BEACH EXPIRES: 3/31/2020
_ TOTAL: $99.00
Issued Date: 10/3/2019 2 of 2
Mechanical Permit Application **ALL INFORMATION
c.' pp HIGHLIGHTED IN
f . .All `,� City of Atlantic Beach Building Department GRAY IS REQUIRED, �1
''y 800 Seminole Rd, Atlantic Beach, FL 32233 ie_.,) S l c1 - 34
1'• Phone: (904) 247-5826 Email: ildin DcptC+ coab.US PI nMlT tr: _,,_ __..__.______._
JOB ADDRESS. '62 Ocaan B►vd PROTECT VALUE $3,1011,00
LI NEW AIR CONDI HONING & HEATING SYSTEM INSTALLATION ARO #(REQUIRED)
0 Air Handling k•qutpment Only 0 Condenser' Only ❑ Air Handling {blit& Condenser
Air Conditioning. Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
QREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI a(REQWRED)941+''"r'
Q Air Handling frquapmert Only CI Condenser Only P Air Handling Unit& Condenser
Air Conditioning. Unit Quantity 1 Tons per Unit 2.0 .
Heat: Unit Quantity 1 BTU'S Per Unit 22030 Seer Rating(REQUIRED) 'a'lri
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 tvlain 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 (City) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
DAIL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets —__ - Pumps _� .___.____.
sl Vented Wail Furnaces Refrigerator Condenser BTUs
tt Water Heaters Solar Collection Systeme;
Tanks Ipallons)
Wells
OTHER:
Pc'mlt bcca ri<s vtlid if work dors nr;I tort r•w Ihrii.1 ti a rrionlh period or work k i.rsprnde•ti or.3bar.dc,•ed for six Mentis. I hereby
certify that I have read this application and know me same to be true and cornett. All provisions of laws and ordinances govrrNog thk
work w1.I he comp' epi with wrsether specified or not. The*ern*data not sive authority to violate t^c p•ovisions of any other OI,Nr 01
lural gill,'rrgulatnon t;,p r I ructrijn or the performance of construction.
Owner Name:AL ALTERI Phone Number: IWO 3024403
Mechanical Company: ooNOVAMHeRAT& JROffice Phone: tfli:Ja►2at•3785 raxtit;X11-37-e
Co. Address: 315 ffTH AvE S City: JM BEACH State: FL Zia 32250
License Holder: WILLIAM DONOVAN State Certification/Registrat;r..n tJ CACCrWe1
Notarised signature of License Holder ,i';:'--',e,, -- •''-"e-•-- --
The
—The lumping Instrument was.acknowledged before me this day of u',_IL itt:.0 , 20,11, in the State of Florida,
County of_ .o.9Ar- _
Signature of Notary Public_--1sG+at•,, 'j1g✓1l.•f 4adtc-
czoi -
e 7 �r� Personally Known OR) )ProauceLJ identification
fi•+ RICFIA}tD L.7bYPloMS
irk)
eicHa ua►i0G 1.5W, type of dent ficahr.n:
-
.`Y,. E+4unsJury 28.2021 1a��rtii'cvw'ts
`•!•:.'1;;.::" a..►wnurayrr:,..s:>moac xsr,a
J3 ri�`lf
f
' Cash Register Receipt Receipt Number
Z City of Atlantic Beach R10640
DESCRIPTION ACCOUNT I QTY I PAID
PermitTRAK $99.00
ACRS19-0341 Address: 162 OCEAN BLVD APN: 170203 0000 $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 22000 $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: R10640 $99.00
Date Paid: Thursday, October 03, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 4
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Printed:Thursday,October 03,2019 11:54 AM 1 of 1