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2233 Seminole Rd Unit 35 ACRS19-0365 : ''iritl MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER Ll� " PERMIT ACRS19-0365 OF - f ISSUED: 11/5/2019 `� ,;. CITY OF ATLANTIC BEACH EXPIRES: 5/3/2020 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: I DESCRIPTION: VALUE OF WORK: 2233 SEMINOLE RD UNIT 35 MECHANICAL RESIDENTIAL replace 3.5-ton 42K-BTU $2000.00 HVAC AHU TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169519 0168 OCEAN VILLAGE ONE CONDO COMPANY: ADDRESS: CITY: , STATE: ZIP: PADGETT'S A/C & HEATING 3772 St. Augustine Rd JACKSONVILLE FL 32207 OWNER: ADDRESS: CITY: i STATE: ZIP: FLECK KAREN A 2233 SEMINOLE RD #35 ATLANTIC BEACH FL 32233 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 3.5 $24.00 FURNACES AND HEATING 455-0000-322-1000 42000 $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: 11/5/2019 1 of 2 r 1.AJV e. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER JS r r r-' `` t PERMIT ARS19-0365 �� ISSUED: 11/5/2019 �\Ji3,; V CITY OF ATLANTIC BEACH EXPIRES: 5/3/2020 TOTAL: $107.00 Issued Date: 11/5/2019 2 of 2 (-- , ,,:1,L.1.-gii:ri,„ 1' Cash Register Receipt Receipt Number Alp �� City of Atlantic Beach R10977 o,3 9r DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $107.00 ACRS19-0365 Address: 2233 SEMINOLE RD UNIT 35 APN: 169519 0168 $107.00 MECHANICAL $103.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 AC AND REFRIGERATION 455-0000-322-1000 4 $24.00 FURNACES AND HEATING 455-0000-322-1000 42000 $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: R10977 $107.00 Date Paid: Tuesday, November 05, 2019 Paid By: PADGETT'S A/C& HEATING Cashier: CB Pay Method: CREDIT CARD 6 Printed:Tuesday, November 05, 2019 1:58 PM 1 of 1 Mechanical Permit Application **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233• ( �S k6(_0 LQS— Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 2233 Seminole Rd. #35 PROJECT VALUE $2,000.00 E]NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM FIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI tt(REQUIRED) 9667304 0 Air Handling Equipment Only CI Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 3.5 Heat: Unit Quantity BTU's Per Unit 42,000 Seer Rating (REQUIRED) 14.00 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 7MISCELLANEOUS: Prefabricated Fireplace (Qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators LIALL 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:Karen Fleck Phone Number: (904) 343-0244 Mechanical Company: Padgett's Air Conditioning & Heating, Inc. Office Phone: (904)588-5222 Fax(904) 722-8687 Co.Address: 3772 St. Augustine Rd. City: Jacksonville State: FL Zip: 32207 License Holder: Caren Padgett ---- State Certification/Registration # CAC1814887 Notarized Signature of License Holder - 4 -(%(•f The foregoing instrument was acknowledged before me this day of (34Qfd ;201\,in the State of Florida, County of (-D V JcA Signature of Notary Public .)—. JESSICA SOULE ['Personally Known OR [ I Produced Identification °`'µY�U? COMMISSION r' MY Type of Identification: y EXPIRES MAR 15,2021 Updated 10/9/18 °""Pw. Bonded through 1st Slate Insurance S --1P1f ri y`� Cash Register Receipt a3Receipt Number City of Atlantic Beach R11129 DESCRIPTION I ACCOUNT I QTY I PAID PermitTRAK $55.00 ACRS19-0365 Address: 2233 SEMINOLE RD UNIT 35 APN: 169519 0168 $55.00 MECHANICAL HVAC FINAL** 11/13/2019 DA $55.00 MECHANICAL HVAC FINAL** 11/13/2019 455-0000-322-1002 0 $55.00 DA TOTAL FEES PAID BY RECEIPT: R11129 $55.00 Date Paid: Friday, November 22, 2019 Paid By: PADGETT'S A/C & HEATING Cashier: CT Pay Method: CREDIT CARD 06354G f Printed: Friday, November 22,2019 1:11 PM 1 of 1 11+ TRACT Cash Register Receipt Receipt Number V City of Atlantic Beach R11555 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $55.00 ACRS19-0365 Address: 2233 SEMINOLE RD UNIT 35 APN: 169519 0168 $55.00 MECHANICAL HVAC FINAL** 12/03/2019 DA $55.00 MECHANICAL HVAC FINAL** 12/03/2019 455-0000-322-1002 0 $55.00 DA TOTAL FEES PAID BY RECEIPT: R11555 $55.00 Date Paid: Friday, January 24, 2020 Paid By: PADGETT'S A/C & HEATING Cashier: CT Pay Method: CREDIT CARD 08131G Printed: Friday,January 24,2020 3:06 PM 1 of 1