353 Royal Palms Dr ACRS19-0351 rS"'\% MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
_' ' )ilfrACRS19-0351
�t ,M , PERMIT
vv ISSUED: 10/17/2019
CITY
. OF ATLANTIC BEACH
„I, EXPIRES: 4/14/2020
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:
353 ROYAL PALMS DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $4427.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171494 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
FERGUSON KAI E 353 ROYAL PALMS DR ATLANTIC BEACH FL 32233-3939
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 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 28600 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 10/17/2019 1 of 2
- of-A,,./. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
JS * r
isi
',. v PERMIT ACRS19-0351
u z ISSUED: 10/17/2019
���; �� CITY OF ATLANTIC BEACH EXPIRES:4/14/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 10/17/2019 2 of 2
etrz,c Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
f '. • City of Atlantic Beach Building Department CRAY IS REQUIRED.
.
1.7' 800 Seminole Rd, Atlantic Beach, FL 32233 RQ RS\ -. C.) S t
:1st i_?-c/
J Phone: f5o4) 247-5826 Email: Building-Dept@coah.u., PERMIT 0:
JOB ADDRESS: 3!•53 ROYAL ALMS DR PROJECT VALUE $4.427.e0
LJ NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Arr Hcr,'crlirig Equipment Only 0 Condenser Only 0 Ayr Handling Unit & Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
12.'j REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#REQUIRED) W7&13:
13 Air Handling Equipment Only 0 Condenser Only 0 Air Hondfing Unit& Conderser
Air Conditioning: Unit Quantity ' Tons per Unit 2.5
Heat: Unit Quantity - BTU's Per Unit 28E0C Seer Rating (REQUIRED) '4.;
D uc: Systems: Total CFM
❑FIRE PREVENTION
Fire Sprinkler System Quantity (RBquires 3 sets of plans)
lire Standpipe Quantity {Requires 3 sets of pians)
Underground Fire Main Value ;.Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Comrrercial Hoods Quantity _ I;Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES 7 MISCELLANEOUS:
Prefabricated Fireplace (Qty.) Automobile lifts
Gas Piping Outlets $oilers BTUs
Elevators/Escalators
HALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps —
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Pe-mit become vuid If work does not commence within a SI. r-Nith pr.!.ii or work is su oenderl or nbandor ed'or six .-xanths. I}hereby
mit ft,.that I have read this app) cation and know the'same:c __-true and corer:. 411 orosisions of laws and ordinances gorcrni--g This
wor‘wit be comp`ted with whether tipecified or no: The permit does not give author Iy leo u o1ate the p-ovision'of a ny o:",er state or
local law re uletic:'- I i,- ;:tre,ction or the Perrot mance of const-uction
Owner Name KAI FERGUSONPho-ie Nur'^i`be- Ir.)53'-2917
Mechanical Con :Ory: DONOVAN I-€ATILAW Off ce Phone: MO241 785 FaxtK+)Z;R-1745
Co, Address: 515 8Th.AVE S City- JAX BtACH State Fl Z p: 32250
License Holder: WILLIAM DONOVAN S:ate Certification/Registration tt
NatoritedSignoture of License Holder ,_ 1-- . " ' —
I he foreFcoirg .r.;t-jrrent was acknowledged before me this _ii day of Umar, __• 20r9 .in the State(a`F arida,
County of ).'AL_
Stgnalure of Notary Public 42......c.11-, —
•::.'!::'/.,7,"4:?,k RICHARD LTCMFtQa+:. Personally Known OR j ]Pradurec Identifi:at;o1
�[+, ComneeeaIC431145&5 Type of Identlficatior —
Bawl NI liffli Fs*Noncom NO2.1171110
'rS �jr
,4 1, Cash Register Receipt Receipt Number
'� V City of Atlantic Beach R10771
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $198.00
ACRS19-0347 Address: 445 W SNAPPING TURTLE CT APN: 169463 1076 $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
ACRS19-0351 Address: 353 ROYAL PALMS DR APN: 171494 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
•
FURNACES AND HEATING 455-0000-322-1000 28600 $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: R10771 $198.00
Date Paid:Thursday, October 17, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 3
Printed:Thursday,October 17,2019 1:20 PM 1 of 1 i