2322 Beachcomber Tr ACRS19-0393 rt'''�'r, MECHANICAL RESIDENTIAL HVAC
4j,- PERMIT NUMBER
PERMIT
Z: ACRS19-0393
ISSUED: 12/3/2019
;�„r CITY OF ATLANTIC BEACH EXPIRES: 5/31/2020
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:
MECHANICAL RESIDENTIAL
2322 BEACHCOMBER TR HVAC HVAC- 1 A/C, 1 AHU, 5 TON $10931.00
TYPE OF REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0070 OCEANWALK UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
SERVICE EXPERTS HEATING
& AIR CONDITIONI 8475 WESTERN WAY STE 100 JACKSONVILLE FL 32256
OWNER: ADDRESS: CITY: STATE: ZIP:
JOHNSON JERRY L 2322 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-6607
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
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
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: 12/3/2019 1 of 2
fl MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ar t .
" PERMIT ACRS19-0393
ISSUED: 12/3/2019
j ,. CITY OF ATLANTIC BEACH EXPIRES: 5/31/2020
TOTAL: $127.00
Issued Date: 12/3/2019 2 of 2
Cash Register Receipt Receipt Number
si
City of Atlantic Beach R11172
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $127.00
ACRS19-0393 Address: 2322 BEACHCOMBER TR APN: 169463 0070 $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 60000 $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: R11172 $127.00
Date Paid: Tuesday, December 03, 2019
Paid By: SERVICE EXPERTS HEATING & AIR CONDITIONI
Cashier: CT
Pay Method: CREDIT CARD 003713
Printed:Tuesday, December 03, 2019 10:02 AM 1 of 1 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 ae R SI 9 3
)B ADDRESS: ) T :2 £eA c (o ri 6 e- —TILL PERivirr#
PROJECT VALUE $ 101 c3 / ARI# f 4 Ii e 3 y V3 REQUIRED
Air Handling Equipment Only 1„/Air Handling Unit & Condenser Condenser
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit S
Heat: Unit Quantity BTU's Per Unit 6,O�00 0 Seer Rating
Duct Systems: Total CFM REQUIRED
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
•rmit 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
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
The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name .J f /' (� J L (, It/ _, C i Phone Number 4,� 3' 7 3 3
Mechanical Company Service Experts Office Phone 271-2182 Fax
Co. Address: 8475 Western \Vav Suite 100 City Jacksonville State Fl Zip 32256
License Holder(Print): Carey Zarin State Certificcti9n'Registration#CAC1817129
:Notarized Signature of License Holder / 4 zy___
-fore me this 4- day of Pc-6W/3 ±'/ 20 / '
CAROL A. 1,,,g-f.„,e_
_a•f. , ; my tssloN U `/
264825 S.3nature of Notary Public ( &t d
i��,.J; EMPIRES:July 5,2021
" or:::�c' Bonded TMi Notary Pubic Urderwriteis
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) •
CRS I Cj _ 039
039 3
Permit No. Tax Folio No.
if
State of 'P I t'il..1 /Jilt County of j)(I 144. ./ ,
•
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and In
accordance with Section 713.of the Florida Statutes,the following Information is stated In this NOTICE OF
COMMENCEMENT. •
1 f U
Legal description of roperty being improved: � t�, l 00 7 0
f - i _`31^ '- a9g .
oc9A-,tl IJ&LK /i/✓) r i Lc "T 3 3
Address of property being improved: tt. • I t/ it'e! /
fi- T/,qiJ r1c :E2 , F-z- ,�.
General description of improvements: )(110- 6
OwnerAddress �G�� I(' 1,1 l=.[JYt)�� ">'�
P ,7 J 9-Z'/ A-r/Tr.. ,BP,
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Owner's interest in site of the improvement W/V Pin/ 3;7,233
Fee Simple Titleholder(if other than owner)
Name
Address
•
Contractor g 21)I C�' 6"X fee-7 S' (/
Address id e $'re it.d) & u ��� JO cJ 4-)i R
Phone No. (, tE[ — 3 3 3 Fax No. Q ` ���
• Surety(if any) /
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the Improvements. •
Name
Address
Phone No. Fax No. 0
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
• Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill In at Owner's option).
' Name
Address . •
Phone No. Fax No.
Expiration date of Notice of Commencement(the ex Irati n_date is one(1)year from the date of recording unless a
different date is specified): 1.2'.. -5--r- / ,.,� :4 ':
THIS SPACE FOR RECORDER'S USE ONLY C �1 OWNER 1 (� I
'1Signed: `� '�`/ , ___ DATE I` b / "I FCBefore me th day of eC ` /
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Number Pages: 1 tmsel ereelf en afll s that ell statements and declarations herein z � _
Recorded 12/03/2019 11:22 AM, re true and accurate
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY /� ��,,
RECORDING $10.00 Li
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lotery bilo at large.State of _, Cpuntxj/✓ L N �1
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