1809 N Sherry Dr ACRS19-0361 Duct Work + Dehumidifier 1 'JTri,„ MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0361
"� ISSUED: 11/4/2019
, 01119r CITY OF ATLANTIC BEACH EXPIRES: 5/2/2020
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:
1809 N SHERRY DR MECHANICAL RESIDENTIAL DUCT WORK & $11000.00
HVAC DEHUMIDIFIER
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720200780 SELVA MARINA UNIT
10B
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
EILEEN & RAYMOND
DICKEY 602 BELLEVUE RD WILMINGTON DE 19809
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
AIR DUCT SYSTEM 455-0000-322-1000 1400 $20.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 11/4/2019 1 of 2
" i, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
/44*,,,,, ACRS19-0361
Ai 'cr.) PERMIT
VISSUED: 11/4/2019
tii 0 ar CITY OF ATLANTIC BEACH EXPIRES: 5/2/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $79.00
Issued Date: 11/4/2019 2 of 2
Mechanical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
lr ,i :° City of Atlantic Beach Building Department GRAY IS REQUIRED_
�'. r 800 Seminole Rd, Atlantic Beach, FL 32233 Si _ 03 (p I
Phone: i9O4) 247-5826 Email: Buildin Det@c:c*:b.u�_
�- p PERMIT N:
JOB ADDRESS: 1805 SHERRY DRV PROJECT VALUE $11.00000
❑NEW AiR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
❑Arr Handling Equipment Only 0 Condenser Only 0 4 r Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit_ Seer Rating (REQUIRED)
Duct Systems: Total CFM
OREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI #(REQUIRED)
0 Air Handling Equipment Only ❑ Condenser Only 0 Arr Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Ulit
Heat: Unit Quantity BTU's Per Urit Seer Rating (REQUIRED)
Duct Systems: Total CFM t.A00
DARE 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 MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
Gas Piping O'.itk is 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
0 OTHER: wt v;I)Ji:—Sh 7RsC d it 5Ti1LLlNG :E1-JMICI= EL'
Pcrmi,be,:^mss vnld if work does not commence within a six month period or yolk Is suspended or abandneed for sit months. I hereby
certify that I have read this app i;ation 4nd know the same to be true and correct. MI provisions of laws and ordinances governing this
work will be complied with whether specified or not. Thr permit does lot give authority to vini atr the provisions of any other state or
local law regulation curt st ruction or the performance of construction
owner Name:EILEEN DICKEY Phone Number: KIM MEM
Mechanical Company: DONOVAN HEAT16AIR Office Phone: 10241-3785 Fax )241.3746
Co.Address: 315 6TH AVF s City: JAX BEACH Stat rL ap: 52350
License Holder: WILLIAM DONOVAN State Certification/Regis'-at ler u rp,C03775•
Notarized Signature of License Holder 1r -r --
Th�foregoing instrument was acknowledged before me this _Si day ofi�(r1T l - , 10t1ti, in the State of Florida,
County of CLAW_
Sienatu'e of Notary Public
Rl lARDL.tOWl.114S [ Personalty Known OR [ Produced Identification
(7 A co.mresion t OG 119666
Type of Identification:
1,74P 'Y Er";Mr 2021 orxrrer3 Irke9f2F
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Swat ttw Tott Foil Imam owili rm
rl�l'
I‘ -
' Cash Register Receipt Receipt Number
'�^V ..,:-/ City of Atlantic Beach R10965
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $79.00
ACRS19-0361 Address: 1809 N SHERRY DR APN: 172020 0780 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1400 $20.00 1
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: R10965 $79.00
Date Paid: Monday, November 04, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 4
Printed:Monday, November 04, 2019 2:04 PM 1 of 1
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