1073 Beach Ave ACRS19-0402 ,rs-.tvir,�; MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
J \i\\
PERMIT ACRS19-0402
. r jISSUED: 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:
1073 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3.5 $9507.00
HVAC TON
TYPE OF REAL ESTATE ZONING; BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170268 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
OKEN DEBORAH MARIE 1073 BEACH AVE ATLANTIC BEACH FL 32233-5753
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 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $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: 12/12/2019 1 of 2
0.:LNr, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
rs s ' ACRS19-0402
PERMIT
'Nl ISSUED: 12/12/2019 3
-an l') CITY OF ATLANTIC BEACH EXPIRES: 6/9/2020
TOTAL:$107.00
Issued Date: 12/12/2019 2 of 2
aav Mechanical Permit Application •*AL1IPHI IlulitrKM
li 14A,MJ'4 11W ON
' City of A2l.int t Br. th Btuil�dirtig ( +rtpi"tr'r�ynt 1AYISWOUND D
4 l;•y' Sikini.i.)'e itil API intut. Deiiltc�Rtr k� i211.} RO1stc -04 OZ
•.,1f„ Phone: Iii<)•1I ?47 SR :Finalt; 8, 0,O nt, k 'C ,1 ? u P11114110.w _...._..
OIL ACK'R ;tF�� . 1 Igo. '< Y.�, "140J11 CT VALVE Ste,
_MtW AIR COIirDITIONih s I. tIAIING 5YSTLM INSTALLATION APT it(REQUIRlrC,1
0 Air hk0V141011 d ig,,.itir+lrnt Oas+'y Cl CI: to,•t ;ln1 C :i.r rt,ie+;SFigi LON4 & C
A0(rit,dii;or1inj Lint Quaertely Ions p. r too ,
Pir,at: Unit ClutliVoitly BTUs per Wet,.. %Oi t 11111/190110Aj
Ch.*:t Systems lotatCfM
nR@;P*AUM[NT AJ$ CONE t1IO' IfG 41 PitAIING S'Y N trebrAt4At1ON AAI i fR QUJR'�EO) 12ii►k./I ., y
it J
0 orieruiU !i4i..vicenrnt °Ali D C•�.r ordy, et'Air trt r4.4a:,p U it C'�! "4i
AJ' (ortliti.,nind Un t 014191t401, _ ,!,.,., Tonto`pet Wirt ,,,.,',' i
14e50.114e50.1i1.u1wrl1e
l unfit 4y .. .' BTU'S POW I11,004 :4, ' 'err Walling i'PriatAtiD) ,.,i r
7'+.at S'pV..e,IS Total CM ,i'
.rig[ pRcvtrdTo*r
fire Spr s' !!ir Syalrnt �'i•ai;r►1+1yt 1I "�tu,rrs 3 Jell.of 04e11) t.,*-4
�;
tiro SI dleitlpiPer Cksi;ia'Irtiyt libegiiirrs T set%ofOstia)
Undtcrtrrx.r*id 1*it Mlarn 1144 Lie 0144a wet I sets of plana)
f ire H4U Cabinets Iasi.a+'iIflyt _ IA*gipti 3 w I' i t 1) s.
_
(r rrrm+irt i.li HOCHI'd. Ceddidtintity Iftocitiproi,3 fit yrs)
hr, iiner5swur ,yMerrie c..twitityr Ipt1utrel. 1 sell of pearls)
'lrltkF PLACES L.:1 MtSOtlANI04,1S:
1'4 r"t,i ..L.II i crept ct;cIv? Autnnrh'IQ 1.i41 s
:,, r'41ar4 I:. iI 1, i n _ ._ fake}
k 4nriilurket vt itt's olu .
1 A 1 ty1 HF It(,A'.PIPI? G Heat t*changer
t;".,i ,t,ty of Out r a . __. V:,,rrtpy,
M Ve=nted Wall r +rtes Kelt ierAN)t Eirr,t,tr BTUs
...-0........
N Water iarrlier, Cour Co,`c'Ctdun %irtilt+rnt
rallot(taitrons)
OTHER:
t`'®r`.../)4.4.qA vr:R4 il yy,,vi 11,>*.re!!cisrome* ie oath *10.1 WIN ot, v4 soil A Itit r,yi.l... 4141(47d'e+4 by ‘I rnx*CM I i."*Or
,+c+•ri•. -Iii '.R+ ,c4,1 :Iv, ,avoi;istWaM+,tedM the weft 1Qwiry*.n.raft#+II, IIpiat5^attialAt0l1kwir Awl jnLt +4114,01"yrn a"4'+
it ,4 Y r ll i10 larriyrd +a"Ih*elisdt it11r 40:Pot. 'MC p cs 4 telt am 10y4 IIStKotri'ta V,iOfiMMlflt0n,tM tw'r w U ain rr+
d. 01 love r4vgpkK r"£Ousts#Citi►til 11.44'@'I1fl1W$.14 torrvIsuctiun
C) l{ems
Rlil+,pr+, ii C r 1 _ ; 1�^ t'. 'i x r r - �,,.i;,,,L.r aa' —
Co Addacia � w` ► r,,, $ ,..,sp.i'lIF_ L'� Wate ` 1 ::::,-,-..„-0 ..
LicilfIll r 0404(1,11V fir" . •. .. 4t at4rir5iuri• I. `i: ,i
Note iwd 3ipt+uk.r fit lir'nu'MOON _ ..-
The
,
of 4,=.1:# , g10,0 TMi A t�'Ir 4id "ell"elle&
T�'r•• . ,. �,�I�.drurri�rr°.44 was�i:kt'�'k rrt �b?,�llEarF'IMV 1►r 5d,►y ,„r
e, t d L I' �,r,.
{ ,tutor•1 IA.t rya t
i,an�lt.ti,ii Ili *WW1! K.r irsi 48 c 1'h 11tilF 11111c4itiiGrt
' a INS a."I S rte,
i-
z=%yyr�,, Cash Register Receipt Receipt Number
)'� v City of Atlantic Beach R11280
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $206.00
ACRS19-0400 Address: 2233 SEMINOLE RD UNIT 37 APN: 169519 0172 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 28800 $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
ACRS19-0402 Address: 1073 BEACH AVE APN: 170268 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $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: R11280 $206.00
Date Paid: Thursday, December 12, 2019
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 9
Printed:Thursday, December 12,2019 3:47 PM 1 of 1