671 Amberjack Ln ACRS19-0381 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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f4-.: s, PERMIT ACRS19-0381
\ ISSUED: 11/18/2019
�;i !____,,).J/ CITY OF ATLANTIC BEACH EXPIRES: 5/16/2020
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:
671 AMBERJACK LN MECHANICAL RESIDENTIAL HVAC - DUCT SYSTEM -160 $1700.00
HVAC CFM
TYPE OF REAL ESTATE BUILDING USE I
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171190 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
KING ADAM J 671 AMBERJACK LN ATLANTIC BEACH FL 32233-4202
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
AIR DUCT SYSTEM 455-0000-322-1000 160 $20.00
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
TOTAL:$79.00
Issued Date: 11/18/2019 1 of 2
, oiAN:rr MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,
PERMIT ACRS19-0381
iiit
ISSUED: 11/18/2019
CITY OF ATLANTIC BEACH
'•-•r It t..) EXPIRES: 5/16/2020
Issued Date: 11/18/2019 2 of 2
Mechanical Permit Application -*ALL INFORMATION
HIGHLIGHTED IN
I(F1.7 0::,'
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rid, Atlarltic Beach, FL 32233 f
Phone: (904) 24; 5826 Email: Buildin Det coab.us PERMIT M:
�- p � RESA190C113
JOB ADDRESS: 671 A4IBER_ACK I.N PROJECT VALUE $1,7alo.CQ
NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only ❑ '-?andiing Unit& ConrdPriser
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 ARI N(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 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 leo
❑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 quart ty (Requires 3 sets of plans)
Commercial Hoods Quantity ;Requires 3 sets of plans)
Fire Suppression Systems Quantity ':Requires 3 sets of plans)
❑FIRE PLACES n MISCELLANEOUS:
Prefabricated Fireplace(Qty; Automobile Lifts
Gas Piping Outlets Boilers B I Us
Elevators/Escalators
DALE OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
it Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
Il OTHER: DUCT RGJGN.Ih r0 1HE ADDITION
Permit becx.m s void if work does not commence within a six morth period o•work is suspended o•abandr:ned tar six iron-:?s. I hereoy
rertity that I nave read this appLcation and know the same tr:he true an:cc-rect. All provisions of laws and ordinances governing this
work will be complied with whether spec fled tin not. The permit does lot gem autvnrity to violate the provisions of any other state or
local 1.1w rcitulation constrLchon or the :mr'crmance of ccrstruct on.
Owner Name:ADAM KING PFone Number: (904)3338701
Mechanical Company. 7C14OVANHEAT&AIR Ct` ce Pnone: t90412.41-37135 Fax:0.4)241-3745
Co.Address 3155TH AVE S Oty: JAX BEACH State: Ft. lip: 32250
License Holder: WILLIAN DONOVAN State Certification/Registration# CACQ39761
Notarized Signature of License Holder 4.+ --,_ .. ., _
The foregoing instrument was acknowledged before me this I6. day of NC�CI-146E•., 2C i{; , in the State of Florida,
Coiinty .,r vt„siim
Signature of tvctary Public ea,r i.' .��-rt44t. ®_
i ,c- s;t RSL TofFXIJIS lv) Personally Known OR f I Pruducec Identification
igA:,.1 Crxrcnisaiont(..Z 111685�h um JAW 2g,Mt Type of identification:
":..... am" *IF*Lwow*ab OM tyiisted.1 CMS
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f Cash Register Receipt Receipt Number
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�� --~ City of Atlantic Beach R11084
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $79.00
ACRS19-0381 Address: 671 AMBERJACK LN APN: 171190 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 160 $20.00
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: R11084 $79.00
Date Paid: Monday, November 18, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 046890
Printed: Monday, November 18, 2019 3:52 PM 1 of 1
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