1881 Beach Ave ACRS19-0408 s'' � MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
" A. A" PERMIT ACRS19-0408
s, ISSUED: 12/23/2019
�r
. :gip,, , CITY OF ATLANTIC BEACH EXPIRES: 6/20/2020
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:
1881 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $4200.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169684 0000 NORTH ATLANTIC BCH
UNIT 2
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
TARI MICHAEL 1881 BEACH AVE ATLANTIC BEACH FL 32233-5938
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.
'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 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 28200 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 12/23/2019 1 of 2
ri.=�,';y� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0408
PERMIT
ISSUED: 12/23/2019
'-ort CITY OF ATLANTIC BEACH EXPIRES: 6/20/2020
--- --- ------ - -- --
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
•
TOTAL: $99.00
Issued Date: 12/23/2019 2 of 2
Mechanical Permit Application "ALL INFOftrAATtGN
wf° HIGHLIG FETED IN
is
City of Atlantic Beach Building Department GMRAYISREQUIRED.
a J 5erninole Rd, Atlantic Beach, FL 32233 l q _o4 a
Phone: (904) 247-5826 Email: Building-Dept@coab.0 i PERMIT#:
JOE ADDRESS: 1881 REACH AVE PROJECT VALUE $4,20,.-i.CD
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI iv (REQUIRED)
0 Air -once';, ;,. r;., ;.nlenf Only ❑Condenser Only Q Air Handling Unit& Condenser
Air Condition , ri: Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating, (REQUIRED/
Duct Systems: Total CFM
EREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ART (REQUIRED) :6.39C-:
❑Air Handting Equipment Only Q Condenser Gni)/ 0.4,r Handling Unit & Condenser
Air Conditioning: Unit Quantity I Tons per Unit
Heat: Unit Quantity t BTU's Per Unit 23 2:0 Star Rating ('RFQUfREO) `5.c:.
Duct Systems Total CI-M
❑FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
lire Standpipe Quantity (Requ'res 3 sets of plans}
Underground Fire Main Value (Requ'res 3 sets of plans}
Fire Hose Cabinets Quartty (fieuu res 3 5et5 of plans)
Commercial Hoods Quart ty (Requ res 3 sets of plans)
Fire Suppression Systems Quantity IRequ res 3 sets of pians}
FIRE PLACES D MISCELLANEOUS:
Prefabricated Fireplace {Qty} Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
st Vented Wall Furnaces Refrigerator Condenser' frUs
It Water Heaters Solar Collect can Systems
Tanks {gallons)
Wells
OTHER:
Per r.14 becumr%goad t wnrk does not cominen:e'Mthi^ 3 ser mirth p^rirrd nr* rk is suspended or abandoned for six months. I' 'Irby
crrti'y tr+at t have read th s appticaton and kr uw the to; true and,orect. All provisions of laws a'-d and nanc:rs err.rr^inp,tris
work will be complied with whether suecif rd or nn'. T-r perm t Toes not give author ty to violate the.prov,cin^c n4 iry nt^Er;tate Cr
local law reguiatio1B construction c:r 'i-.r perfrr - rce ct coistru:t,on.
Owner Uame;MICHAEL TART Phone Number: x.917)375-11O
Mechanical ccrrl cs;i,y DCNOVANI~ftATBAJR Off'ce P'-c.nr. moo 24'•37!+5 rax ICA 2.1'.370 .
Co Address. 315611-4.4.,'E 5 (_ -y; JAX BEACH State: FL Zia 3:2"x7
License Holder: WILLIAM DONOVAN _tate •Certifi•:at :intReg Stratton 7 t;AuCOb979t
Notarized Signature of License Piclder
`-e o•e crg inst'Jrerr was .1:_,••uwledged before me this_2a_day of C Ei116 :i., 20 ,in the State o*- :Jorida.
County of DI..WAI. j
Signature or Notary Public &h_.l'1 vti,Tii,40#.4, --
,�r"�r�y�•.,
RICHARD L.T F'KINS 14 "erspna ly Known OR ' I Produced Wert catior
.i COMP116sM i t GG 11 96%
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' •EI�i"esJuy29.2021 �lPc of Idratificatia.
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