73 Oceanside Dr ACRS19-0396 7.
rS"' ,,,,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0396
/� ISSUED: 12/10/2019
:=,r 9/ CITY OF ATLANTIC BEACH EXPIRES: 6/7/2020
�J,31
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:
73 OCEANSIDE DR MECHANICAL RESIDENTIAL replace 2.5-ton 30K-BTU & 2- $9357.00
HVAC ton 24K-BTU AHUs
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
168846 5110 OCEAN SIDE
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
HALL ROBERT V JR 73 OCEANSIDE DR ATLANTIC BEACH FL 32233-5949
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 4.5 $32.00
FURNACES AND HEATING 455-0000-322-1000 54000 $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: 12/10/2019 1 of 2
11--474 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBE� R
�S � ACRS19-0396
> PERMIT ISSUED: 12/10/2019
`�.as3,,./ CITY OF ATLANTIC BEACH EXPIRES: 6/7/2020
TOTAL:$119.00
Issued Date: 12/10/2019 2 of 2
<t, f Mechanical Permit Application "ALL rNI-0NMAT1ON
HHTED ih
i 44111' City of Atlantic Beach Building Department GRAY
iSREQUIR
Guar IS REQUIRED.
1 800 Seminole Rd, Atlantic Beach, FL 32233
''iz' Phone: (904) 247-5826 Email:Building-Dept@coab_us LLRMrTIf; A C I2_5 lq - 039(0
JOB ADDRESS: - ' i'' 1 w_ _ PROJECT VALUE S 9-' 7
LNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI N(REQUIRED)
0 Au Hrindiiny fqu)pment Only ❑Condenser Vniy 0 Air Ham-Ping Unit&Condenser
Air Conditioning Unit Quantity __ Tons per Unit
Heat: Unit Quantity _ _ BTUs per Unit _. Seer Rating(REQUIRED) _ ___
Duct Systems: Total CFM _ _
9(54/1f"7
L4REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) o fgti L.A
Q Air Handling Equipment-Only ❑Condenser Only Drier Ho ng Unit&Condenser
Air Conditioning_ Unit Quantity •.iPons per Unit s i„
Heat: Unit Quantity_ BTU's Per Unit 14,- x'" 11114.1!1 Seer Ra ng(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 p1l1ns)
Fire Hose Cabinets Quantity ___ _ 'Requires 3 sets of pi ns)
Commercial Hoods Quantity (Requires 3 sets of pt ns)
Fire Suppression Systems Quantity _______ (Requires 3 sets of p ns)
[FIRE PLACES DMISCELLANEOUs:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers 5 s
Elevators/Escalatorsy
DALE OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
d Vented Wall Furnaces Refrigerator Condenser BTUs
0 Water Heaters Solar Collection Systems
Tanks(gallons I
Wells
OTHER:
:•Frmi brio-les sod if wnrk ones nor commence within a us month perioa or work s suspended or apan-tinned for six months 1 herons,
:entity that i baso'ead this apptiranon and know the same to be true and correct. AI+prov,sson,ul laws and ordinances governing thiI
work will be crieipr ed with*nether specified or not Thr permit does not give authority to vwo are the prniisipns of any other statism
local taw regulation construction or the performance of construction.
Owner Name: Rnb\(rnn (a,t AA Phone Nus ibex � I- X)6- IO it
MechanlcalCompany: Ureic.r r1r'tJc�I • - Office Phone: OLI*e111i ?yid Fax
Co Addrr ss. 3 t ,-f 4' City: _, 1.e. lit B, State- rt. 2ip: 1)7M)
License Holder- '-131____:._—.._._.::^ __State Certif cation/Re stratia /AO?' 74f+'
Notorired Signature of License Holder / '•-7 4 ..oei
ilia o goingi strument was acknowledged twfore me _,;.(1.this day of ?r' 2OjL i the State of Florida,
county of ,YE)
RiCIiAiCl1.TO IPKUE Signature of Notary Public
1.,"A::t Cavairlbsp001t1i i
,..':::: ;,:;Iwo*Jay2!2021 firersonally Known OR( )Produced Identification
...; s.a.r"Mr tgri.nr....,.emleimiri Type of Identification:
a° , �- Cash Register Receipt Receipt Number
City of Atlantic Beach R11258
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $226.00
ACRS19-0395 Address: 1843 SEMINOLE RD APN: 169630 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $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
ACRS19-0396 Address: 73 OCEANSIDE DR APN: 168846 5110 $119.00
MECHANICAL $115.00
AC AND REFRIGERATION 455-0000-322-1000 5 $32.00
FURNACES AND HEATING 455-0000-322-1000 54000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
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: R11258 $226.00
Date Paid: Tuesday, December 10, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 049664
r
Printed:Tuesday, December 10, 2019 3:09 PM
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