1843 Seminole Rd ACRS19-0395 s'..,v. ,4 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER is1J ? PERMIT ACRS19-0395
ISSUED: 12/10/2019
`r�J9 CITY OF ATLANTIC BEACH EXPIRES: 6/7/2020
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:
MECHANICAL RESIDENTIAL
1843 SEMINOLE RD HVAC replace 3-ton 36K-BTU AHU $5756.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169630 0000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
JEFFERY DAVID L 1843 SEMINOLE RD ATLANTIC BEACH FL 32233-5915
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 45S-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $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: 12/10/2019 1 of 2
fs!..V.trie., MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
J1 '-;6 ACRS19-0395
J .:;..:... s, PERMIT
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,,3 ISSUED: 12/10/2019
,; CITY OF ATLANTIC BEACH EXPIRES: 6/7/2020
TOTAL: $107.00
Issued Date: 12/10/2019 2 of 2
Mechanical Permit Application
••Ant NroaManoN
36L1-rt:,. HiG'�!IGHTED IN
♦ City of Atlantic Beach Building Department GRAY.s Rrouraro.
. y
S00 Seminole Rd,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Buildin-Dept@coab us PERMIT,,; / C., —O 39 5--
JOB
JOB ADDRESS: I r •r , PROJECT VALUE $ S7•
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION AR, II(REQUIRED)
❑Air Handling Equipment Only p 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 t�
REPLACEMENT AIR CONDITIONING&HEALING SYSTEM INSTALLATION AR!rf(REQUIRLD) ! 6?>I
❑Air Handling Eguiprrent Only 0 Cur: iivlser Only G Air Handling Unit&Condenser
Air Conditioning Unit Quantity I Ions per Unit .•
Heat: Unit Quantity ' BTU's Per Unit_ `s iell R Seer Rating(REQUIRED) (41
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 sats of plan,)
Commercial Hoods Quantity (RE-quires 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 _ BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING 'teat Exchanger
Quantity of Outlets Pumps
N vented Wail Furnaces Ref'igerator Condenser BTu-
q Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit beccmes toid if ware dor-s-ot commerce with n a six month period n,•work n susocrrdcd or aoancored for six months. ?heresy
tertrtr that I have read this appllcat:or.end know:he same to be true and correct. Al provisions of laws and ord na'ces governing this
work w=ll be tome ied with whether specified of not. The permit does ride give authority to violate?h.-drew skins rel ons other state or
:cai aw rrgulat.on construction or the performance of construction.
Owrc Narne: Qc>) JtI t) Phone NJ"Ilic QA-N I- 7 iy
Mechanical Company. r.) Office Phone: 9t,Li J i l -P164 Fax
Cr,.Atldrr.55, .?tl`, l,'" _i_,�• Oty: ,Alf S§rrA State: Ft- z.p 095
5
License Holder: 1 ti, •: r State rtiftcatioft)Re$lstrationa ( Q J7Jr).
Notarized Signature of license Holder .a z _
the foregoing i•-strurnen-was ackrrowlecged befo•e me this SPT,day of P i .2q , in the State of Florida,
County of r a
S Rn Lure of Notary Public 4r
Aigt.0 c�RCiN fiRD L.TOur+lw
„ `� Gcm-rsaru•rttiG
l3 ;,j1 E;:ire:Ler 29 t t [ Personally Known ORI I Produced Identrficat on
% a.rare '•ryrwb"u""IYn ab•J
Type of dencitiration:
:.10atrd iWe/ii
]r�2pl
Je tjot, Cash Register Receipt Receipt Number
, City of Atlantic Beach R11314
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $55.00
ACR519-0395 Address: 1843 SEMINOLE RD APN: 169630 0000 $55.00
MECHANICAL HVAC FINAL** 12/16/2019 RBE $55.00
MECHANICAL HVAC FINAL** 12/16/2019
455-0000-322-1002 0 $55.00
RBE
TOTAL FEES PAID BY RECEIPT: R11314 $55.00
Date Paid: Tuesday, December 17, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 5
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Printed:Tuesday, December 17,2019 11:46 AM 1 of 1