511 Ocean Blvd ACRS19-0360 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0360
PERMIT ISSUED: 10/31/2019
At_ j , CITY OF ATLANTIC BEACH EXPIRES: 4/28/2020
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:
511 OCEAN BLVD MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 4 TON $5215.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170143 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
GRISWOLD SCOTT 1 511 OCEAN BLVD ATLANTIC BEACH FL 32233-5339
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 5215 $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: 10/31/2019 1 of 2
- �,SLA,yf�� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
t\ ACRS19-0360
PERMIT ISSUED: 10/31/2019
\-,,,,,;19%_.-V CITY OF ATLANTIC BEACH EXPIRES: 4/28/2020
TOTAL: $115.00
Issued Date: 10/31/2019 2 of 2
Mechanical Permit Application "All INFORMATION
�;-,1%f,.- RP HIGHLIGHTED IN
.. City of Atlantic Beach Building Department GRAY IS REQUIRED,
1/41: 800 Seminole Rd, Atlantic Beach, FL 32233 P e kC \q - 03 6,0.
vvr Phone: (904) 247-5826 Email: Budding-Dept@coab.us PERMIT It:
JOB ADDRESS: 511 OCEAN BLVD PROJECT VALUE $5.215:CC'
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
CI Air Handling Equipment Only ❑ Condenser Only ❑Air Hrtr,rilrrg Urtit & 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 AR!#(REQUIRED) 20:193ti3C0
ID Air Handling Equipment Only 0 Condenser Only 0Air Handling Unit & Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 4x
Heat- Unit Quantity 1 BTU's Per Unit 46303 Seer Rating(REQUIRED) 15-50
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)
OHIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace{Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
EIALL OTHER GAS PIPING Heat Exchanger
Quantity at Outlets Pumps
p Vented Wall Furnaces Refrigerator Condenser BTU
it Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit becomes void i'work does not commence within a six month period or wnrk is susper•ded or abandoned Irir six months_ I hereby
certify that I haus,read this application and know the sane to be true and correct All prnvislotls of laws a-d ordinances governing this
work will be complied with whet-er specified or not The permit does not gore_authorty to violate the provisions of any other slate or
local aw regulation const'uction tart he pe'formarce of construction,
Owner Name:SCOTT GRISWOLD Phone Number:4 +)246-7564
Mechanical Company: DOCIVAN HEAT 4AIR Ottice Phone: Mil 2413785 Faxi3041241-3749
Co.Address: 315 6TH AVE S City: IV(BEACH State: Zip: 32250
License Holder: WILLIAM DONOVAN State Certification/Registration A Cwt
—1
Notarized Signature of License Holder . '�-; �= i7S/- --
The foregoing instrument was acknowledged before me this 1,O day of Ca - ,20 ful, in the State of Florida,
County ofAU - [�
Signature of Notary Public. tea 1., ' ""'�;
aICtIAROL.TOUF10wS [v] Personally Known OR [ 1 Produced Identification
44. oommsdQn t Gn 115W Type of Identification:
ii.z.A.
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;"5 s"iisixt No Tior Fais Manz Weems
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„ Cash Register Receipt Receipt Number
%-.Ir.. i
V City of Atlantic Beach R10925
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $115.00
ACRS19-0360 Address: 511 OCEAN BLVD APN: 170143 0000 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 1 $32.00
FURNACES AND HEATING 455-0000-322-1000 5215 -1 $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: R10925 $115.00
Date Paid: Thursday, October 31, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 004327
Printed:Thursday,October 31,2019 11:41 AM 1 of 1 I