2233 Seminole Rd Unit 37 ACRS19-0400 Wit110m' ),. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
:' , ACRS19-0400
,f-:: � PERMIT
ISSUED: 12/12/2019
;:``uss»/ 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:
2233 SEMINOLE RD UNIT 37 MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $6010.00
HVAC TON
TYPE OF REAL ESTATE ! BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169519 0172 OCEAN VILLAGE ONE
CONDO
COMPANY: ADDRESS: CITY: I STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: 1 CITY: I STATE: ZIP:
HARVEY SHORTELL LIVING
TRUST ET AL 392 7TH ST 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.
I DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
1
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 28800 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 12/12/2019 1 of 2
S.A4 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
JS?
iii:
PERMIT ACRS19-0400
ISSUED: 12/12/2019
�,; ,� 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: $99.00
Issued Date: 12/12/2019 2 of 2
----5', Mechanical Permit Application ••ALLINFORMAn0N
i HIGHUGHTED IN
•-•FBF'' City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233 GRAY ISREQUIRED.
Phone: (904) 247-5826 Email: Building-Dept(a�cnab.US r\�- (9 - 04 00
PERMIT i►:__
JOB ADDRESS: ,
PROJECT VALUE$
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)_
0 Air Handling Equipment Only 0 Condenser Only 0 :Ur handling Unit& Condenser
Air Conditioning: Unit Quantity
tY Tons pc- Unit
Unit Quantity BTUs per Unit Seer Rating (REQUIRED)_ _
Duct Systems: Total CIM
L. )REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) `)i"'•'>?i z
❑Air Handling Equipment Only D Only p�Air Handling ci � e.
Ai• Conditioning: Unit Quantity_ ,_ Tons per Unit pi ra lrnq Unit&Condnser
Heat Unit Quantity_ BTU's Per Unit
r—�Duct Systems: Total CFM ' r� Seer Rating 1REQtlIREDJ 1 ___
FI(FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity
Underground Fire Main Value -- (Requires 3 sets of plans}
c gr Cabinets (Requires 3 sets of plans)
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
Gat Piping Outlets _ Boilers _
B?us
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 dors not commence within a six month period or work is suspended or abandoned for six months. I hereby
cer ify that I have•ead tnis application and know the same to be true and correct. Alt provisions of laws and ordinances governing th s
work will be complied with whether specified or not. The permit does^ot give authority to violate the provisions of any other state or
,ocaI taw?egulabon construction or the performance of construction.
Owner Name: IA
i k; rl.r z j J r a('V ei ✓ Phone Number: (f02-651 'Iii"*"?Mechan cal Company: LlnnttIc., tit $' 1'4 r Office Phone: )( 24-0I 5i Fax 24 i—3_78S
Co. Address: 115 14}n A i,r { x s�
City: 4,14rd)0 5%t State: FL Zip: tiler) "
License Holder: }1f 11 tlnnflt‘n State Certification/Registration p (.Alii 31761
/'fu' y
Notarized Signature of license Holder i ...
The fcregoinggistrument was acknowledged before me this WI' day of Peirzri,„- ,20 1_9,in the State of Florida,
County of --
Signature of Notary Public 9441;> 'V'-
(�*' a HARCIt Toufw►:s
axt cDrout4Krf GG t195t6 I !
ersonally Known OR[ 1 Produced Identification
:,. ..
E`''r0”"h 29' 'i �„ Type of Identification:
�,;;;:••'• b4,,,"ThaiTiry l w hams Ko v` J 1{ YP On"i._.