1555 Selva Marina Dr ACRS19-0364 f'"" ' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
` ACRS19-0364 PERMIT ISSUED: 11/6/2019
\\_\c,;„ CITY OF ATLANTIC BEACH EXPIRES: 5/4/2020
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:
1555 SELVA MARINA DR MECHANICAL RESIDENTIAL HVAC- 2 A/C, 2 AHU, 1.5 & $7500.00
HVAC 3.5 TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: . NUMBER: GROUP:
171946 0000 SELVA MARINA UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
ARTHUR RICHARD
WORSHAM 1555 Selva Marina Dr 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 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 44600 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 11/6/2019 1 of 2
s `'r. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,cf. ISSUED: 11/6/2019
.,
PERMIT ACRS19-0364
_
�� e CITY OF ATLANTIC BEACH EXPIRES: 5/4/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $123.00
Issued Date: 11/6/2019 2 of 2
.., Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
Y
800 Seminole Rd, Atlantic Beach, FL 32233 �c2 319 - o 36 4
-' Phone: (9O4) 247 5826 Email: Buildin�-Dept�ilcoab.us PERMIT It: �
JOB ADDRESS: 1555 SE—VA MAR NA DR PROJECT VALUE $7.5{}0.00
Li NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condense(r ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity mors per Umt
Heat: Unit Quantity _ B1Us per- i-In - Seer Rating (REQUIRED)
Dud Systems: Total CFM
OREPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION AR!#(REQUIRED) 261@531`4.9'55.96
0 Air Handling Equipment Only 0 condenser O:b:y p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I f I T0115 per Unit J.5 f .
Heat: Unit Quantity (1�1. BTU's Per Unit ISCOC!Zsipco Seer Rating(REQUIRED)(�.s 1 14.5-
Dud Systems: Total GEM ;c,I l ;
I—IMF 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 Quantdy (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
F'evatorsitE sca la to rs
❑All OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
N Vented Wall Furnaces Refrigerator Condenser BTUs
R Water Heaters Solar Collection Systems
Tanks ;gallons)
Wells
OTHER:
Permit becomes void if work does not commence with i a six month period or work is suspended or abandoned for six'rwnths. I hereby
certify that I nave read this appl=catlon and know the sane to be I roe and enr'ttt. All provisions of lames and ordinances governing this
war*will be complird with whet'er speciti ed or no: Tae permit does not rive authority to violate the provisions of any other state or
local law regulation construction or:he performance of constriction.
Owner Name:RICHARD ARTHUR Phone Number: (1304{241-2601
Mechanical Com 0.1.-4 DCNCVAN HEAT 6 AIR Office Phone; : 4J241-37Ah Faxt9O I Z413745
Co. Address: Wei-l':AVF S City_ JAX BFACN State: Cl- Zip: 32250
License Holder; WILLIAM DONOVAN State Certification/Registration 4 CAG73g76'
Notarized Signature of License Holder i"i114a,e_11*`-,___.
The foregoing instrument was acknowledged before me this if day of h e,ltii► R. ,201_1_,in the State of Florida.
County of ❑.AyAt
Sig nat,re of Notary Public f2 4.) '--.. ......44.1:4._.
RI JAR)L TOWIONS U1 PersonIly Known oR ' 1 produced Identification
#`a�a ,l Camrdssion t GG 11l61S
� . Type of Identification:
tGsree.1442i,2021
'�; 'r• far•1ihvTM�ryYlaartalAeltll►dIL7N� LboaKed?431I16
J Cash Register Receipt Receipt Number
J
o\'�y �� City of Atlantic Beach R10993
-0E19,-
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $250.00
ACRS19-0364 Address: 1555 SELVA MARINA DR APN: 171946 0000 $123.00
MECHANICAL $119.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 44600 $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
ACRS19-0366 Address: 1762 SEA OATS DR APN: 172020 0428 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 56000 $28.00
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: R10993 $250.00
Date Paid: Wednesday, November 06, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 10
/'i
Printed:Wednesday, November 06,2019 1:12 PM 1 of 1 ri