1711 Beach Ave ACRS19-0363 s�L MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
o ACRS19-0363
11ir* _ f) PERMIT
`�r ` ISSUED: 11/4/2019
\,r`�;i�, 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:
1711 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 3 & 4 $24000.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169661 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: ADDRESS: CITY: STATE: ZIP:
ENVIRONMENTAL AIR 8110 CYPRESS PLAZA DR STE 106 JACKSONVILLE FL 32256
SERVICES,INC
OWNER: ' ADDRESS: CITY: STATE: ZIP:
PECORARO RUSSELL 1211 SALT MARSH LN FLEMING ISLAND FL 32003
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 7 $56.00
FURNACES AND HEATING 455-0000-322-1000 84000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.09
Issued Date: 11/4/2019 1 of 2
•„:11Aiv .,� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
it
t,04 ,
.. ACRS19-0363
'iv , PERMIT ISSUED: 11/4/2019
�,;�,. CITY OF ATLANTIC BEACH EXPIRES: 5/2/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $143.09
Issued Date: 11/4/2019 2 of 2
„s'=,ar.) LI
**ALL INFORMATION
, Mechanical Permit Application ALL INFORMATION
A
;- . 1.-14K1 City of Atlantic Beach Building Department GRAY IS REQUIRED.
f 800 Seminole Rd, Atlantic Beach, FL 32233 RC—RSI —1 — b36,—
<7..4
36,—
Phone:
(904) 247-5826 Email: Building-Dept@coab.us PERMIT#: r\C5t n
04 (E
JOB ADDRESS: ail 6éc 4v PROJECT VALUE $ ,z, 9�DOC) CA..
KNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 085Ts-'
❑ Air Handling Equipment Only ❑ Condenser Only Air Handling Uni & Condenser
Air Conditioning: Unit Quantity Tons per Unit 3 7-�v
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) /9 O
Duct Systems: Total CFM P.M
/cam?3S75—
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) /eo?r?yc'f
❑ Air Handling Equipment Only D 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 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
nOTHER:
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: Pee...Oritr0 Phone Number: M/. 0.77-c03.0
Mechanical Company: FiVArertY00444de ( T4070tn Office Phone: Fax
Co.Address: /ld C7/0 - S 0,—...A lex::. ” City: Jai( State: n- Zip: 42
License Holder: Ay Arl I Ai„ i AC /_ t, e Certification/Registration# 64-6,(571/0
/ i
Notarized Signature of License Holder Ar/ j
The foregoi strument w�s acknowledged before me thi / .y of �` 201 in the State of Florida,
L.)County of .)k) \/CI •
Signature of Notary Public L� . 2019j
TONI GINDLESPERGER ;
=''` t M,,gYCOMMISSION SGG353173 -{-personally Known OR [ ] Produced Identification
�.. t';47 EXPIRES:October 6,2023 Type of Identification:
�'°or rM1�": k_o___ ___NOtary Public UndenwMws
Updated 10/9/18