175 Beach Ave ACRS19-0342 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r ACRS19-0342
PERMIT ISSUED: 10/4/2019
CITY OF ATLANTIC BEACH EXPIRES: 4/1/2020
MUST CALL INSPECTION • •NE LINE (904) 247-S; • PM FORINSPECTION.
ALL • ' CONFORM i THE CURRENT 6TH EDITION1 OF • ' + BUILDING
CODE, AND CITY OF ATLANTIC BEACH CODEOF ORDINANCES .
ALL • • OF APPLY, PLEASE , 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.
• : ADDRESS: • • OF • •
175 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2 TON $1500.00
HVAC
TYPE OF + +
ZONING: :D •
• • GROUP:
170314 1020 SHORECREST
CONDOMINIUM
COMPANY: ADDRESS:
TOTAL AIR CARE, INC. PO BOX 2004 MIDDLEBURG FL 32050
OWNER: ADDRESS: CITY: STATE: ZIP:
MATHENEY JOANNA L 175 BEACH AVE 10 ATLANTIC BEACH FL 32233-5212
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.
s F ,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4SS-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
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
Issued Date: 10/4/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0342
PERMIT
ISSUED: 10/4/2019
rill N CITY OF ATLANTIC BEACH EXPIRES: 4/1/2020
TOTAL:$99.00
Issued Date: 10/4/2019 2 of 2
Mechanical Permit Application "ALL INFORMATION
,. HIGHLIGHTED IN
City of Atlantic Beach B `ilding Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 175 Beach Ave PROJECT VALUE $1,500.00
❑✓ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 10392204
O Air Handling Equipment Only Ci1Kondenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 2
Heat: Unit Quantity BTUs per Unit — Seer Rating (REQUIRED) 14C 0
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
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 F7 MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL 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:JOANNA MATHENEY Phone Number:
Mechanical Company: TOTAL AIR CARE,INC Office Phone: (904)282-5050 Fax
Co.Address: PO BOX 2004 City: MIDDLEBURG State: FL Zip: 32050
License Holder: MICHAEL NIQUETTE A State Certification/Registration# CAC1815232
Notarized Signature of License Holder ! ✓��-
The-foregoing instrument was acknowledged efore m�thisd of 20_1 1in the State of Florida,
County of _,r,Z i G
Signature of Notary Pub;j A,/VIA02,=�J
iL==
N DANIEL ;personally Known OR [ ] Produced Identification
c-State of Florida Type of Identification:
n#GG 295238ission Expires Updated 10/9/18
y 27, 2023
Cash Register Receipt
Receipt b.
=sCity of Beach R10660
sem-
DESCRIPTION
• CITY PAID
PermitTRAK $99.00
ACRS19-0342 Address: 175 BEACH AVE APN: 1703141020 $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: R10660 $99.00
Date Paid: Friday, October 04, 2019
Paid By:TOTAL AIR CARE, INC.
Cashier: LE
Pay Method: CREDIT CARD 4
Printed: Friday,October 04,2019 1:52 PM 1 of 1
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