1611 Beach Ave ACRS19-0411 -L'' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
J ' 0 ACRS19-0411
,______)
�, .` PERMIT
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CITY OF ATLANTIC BEACH ISSUED: 12/27/2019
EXPIRES: 6/24/2020
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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:
MECHANICAL RESIDENTIAL
1611 BEACH AVE HVAC HVAC - 1 A/C, 1 AHU, 3 TON $7100.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169647 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
, :OWNER: 1 ADDRESS: CITY: STATE: ZIP:
WILKINSON HENRY 1611 BEACH AVE ATLANTIC BEACH FL 32233
BROOKS
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 AtiL ilk
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 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 12/27/2019 1 of 2
,S"''0 %, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
-,.. .. ACRS19-0411
,� . . : _- PERMIT ISSUED: 12/27/2019
--,,2,, CITY OF ATLANTIC BEACH EXPIRES: 6/24/2020
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$107.00
Issued Date: 12/27/2019 2 of 2
Mechanical Permit Application ••ALL INFQRrJIATIt)NHICiHLIGHTEDIN
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
8 Jo Seminole Rd,Atlantic Beach, FC 32233 e _ I>,`,r`;.: Phone: (904) 247 5826 Email: Ruil sin Dept@coab.us vtIMrt..l� `
JOB ADDRESS: Hifi&ACH AVE PROJECT VALUE S7.'00 ac
C NEW AIR CONDITIONING &HEAT ING SYSTEM INSTALLATION ARI p(REQUIRED)
0 Air Handling(quit lent On;./ 0 Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity •ons per Unit
Heat. Unit Quantity E''TUs per Unit Seer Rating(REQUIRED). ..__
Duct Systems Total CFM
OREPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR1#(REQUIRED) 7564e1P
0 Air Handling Equipment On', 0 Condenser Only C ilir Handling Unit&Condenser
A r Conditioning: Unit Quantity I ons per Unit '_d
Heat: Unit Quantity i BTU's Per Unit Id o o Seer Rating(REQUIRED) i6 r':
Duct Systems- Total CFM
❑FIRE PREVENTION
Fire Spr nkler 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 Hoie Cabinets Quantity (Requires 3 sets o'plants)
Commercial Hoods Quantity IRequ res 3;els of pL nsI
Pre Suppression Systems Quantity IRequ res 3 stets of plans)
FIRE PLACES EMISCELLANEOUS:
Prefabrccatee Fireplace(Qty) Au:nrnewlle Lifts
(,as Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Qt.antiry of Outlets Pumps
$Vented Walt Furnaces Re'rigerator Condenser BTUs
U Wate-Heaters Solar Collection Systems
Tanks(gallons)
Wells
Q OTHER:INSTA_LING CtK.MIDlfi£R ._
Permit becomes se id I work does rot commrce vrthin a six month pertot-.o•wr•rk is s,spenied cx abandoned tar us months. I hereby
c.rtr'Y Chet'Iii>„e•t.ac'-r app I.-ii on Ard mow the carne to be'nuc•an:t cc•rest All rrr:w.oat of taws and ordinances governing tills
spark will be coapt ro*ith'wrethc'%pealed or not The prrmrt does nn;r,e.a_thentr to vin ale the prey+situs of try otter state ar
local .sus rrguIar on corisiria ,kk or r^e performAi cp of cWttr1414in.
Owner Na'iP•tNRY WILKINSONPhone N_enbe- ;ma 7134153
MPchanicdiCompany DOV,Iv1E4:LAIR Orfs:cal*ane ,.94;241''-1e! Faxes:24r-1,,As
Cc Address: 3456TH TJC 5 City Jilt IHFAC1i Slate. FL Z p: 32290
Lkense Holder:WILLIAM DONOVAN Sate C.ertiticetwr•i 4egistratryi 4 CAL4E FI1
Notarized Signature of License Holder -4-:;.:49-4-.f,_. i__— »+s
the toregorng uatru••-,e'' n.i': =.4•,ewleCged before me this 2 day of j'l ?E)11 ,?OM. r Pi, ',IX.,of Florida.
Ca arty of GUS( t
'.,L{,atur c•of Notary Public_____, 1 __ :t'4441.4.t....._ _
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� Cash Register Receipt Receipt Number
City of Atlantic Beach R11375
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS19-0411 Address: 1611 BEACH AVE APN: 169647 0000 $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: R11375 $107.00
Date Paid: Friday, December 27, 2019
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 4
Printed: Friday, December 27, 2019 1:02 PM 1 of 1