2058 Beach Ave ACRS19-0401 -:5' ' % MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0401
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ISSUED: 12/12/2019
CITY OF ATLANTIC BEACH EXPIRES: 6/9/2020
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:
2058 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $10989.00
HVAC
TYPE OF ! REAL ESTATE a ; BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
169713 0020 NORTH ATLANTIC BCH
UNIT 3
COMPANY: ADDRESS: CITY: STATE: ZIP:
ONE HOUR AIR
CONDITIONING & 1198 MAYPORT RD 1 ATLANTIC BEACH FL 32233
HEATING
OWNER: ADDRESS: ! CITY: STATE: ZIP:
GLASSER ELLEN 2060 BEACH AVE 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.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $2400
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 12/12/2019 1 of 2
S=a'-irr MECHANICAL RESIDENTIAL HVAC
JSr �'A PERMIT NUMBER
r PERMIT ACRS19-0401
'� �� ISSUED: 12/12/2019
`,-.)j; , CITY OF ATLANTIC BEACH EXPIRES: 6/9/2020
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $107.001
Issued Date: 12/12/2019 2 of 2
l�zs^ .� r`t1?0:tiVF� ��';�i ;:
0 � Mechanical Permit Application �Y Lr � �r , •e>„t ,.
,� City of Atlantic Beach Building Department 4 eRA�r>fs e Ir,
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a 14 u REDS f'
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r 800 Seminole Rd, Atlantic Beach, FL 32233 C2S1
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Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: r 1 .. < _. PROJECT VALUE$., 1 .` " " •
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❑NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ZO2-\A-g9'19
®Air Handling Equipment Only , 0 Condenser Only �'d7Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 37 Or\ {
Heat: Unit Quantity \ BTU's Per Unit 3\0, (Jac) Seer Rating(REQUIRED)
Duct Systems: Total CFM
nFIRE 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) r
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 BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit 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 this 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 not. The permit does not give authority to violate the provisions of any other state or
local law regulation construction or the performance of construction.
Owner Name:' : _ '_s , a'exA AVRISAn_ l Phone Number (7V. `r
O ,s4:4
� Y Y -A kr ' ii;y rr :, 1 ' 4s lMechanical Company: .f „ , ox-,. k Office Phone. 4 _ w~. Fax
Co. Address:gtf r f ; ,Sth 6F :i47::�: wommi Cit lAtog `State ' Zi f `'-_
License Holder • 4l .:@At T;- :. e, 0 L.,I. I.M11%,,;io,,f-.F.m.:i<.-4#0.: ›41 - Certification/Registration# ' ('y }
Notarized Signature of License Holder , "4i ;; x!'A ,.N a' ' fits ., ;,; - ' ,...f
The foregoinginstrument was acknowledged before - this �r�`d of ,\Q tainul,20 lq,in the State of Florida,
County of \},VO\\--
Signature of Notary Public
40 Whig Public stabs of Flows
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Joshua PersonallyKnown OR roduced Identification
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. . • my 6ommis.ian C;G 244205 I �
,, mre.01n1rzozs Type of Identification: D L
Updated 10/9/18
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Cash Register Receipt Receipt Number
\ City of Atlantic Beach R11279
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DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $107.00
ACRS19-0401 Address: 2058 BEACH AVE APN: 169713 0020 $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
TOTAL FEES PAID BY RECEIPT: R11279 $107.00
Date Paid:Thursday, December 12, 2019
Paid By: ONE HOUR AIR CONDITIONING & HEATING
Cashier: CB
Pay Method: CREDIT CARD 8
Or
Printed:Thursday, December 12, 2019 3:40 PM 1 of 1 IF