1530 Selva Marina Dr ACRS20-0003 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
rr: PERMIT ACRS20-0003
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ISSUED: 1/3/2020
CITY OF ATLANTIC BEACH EXPIRES: 7/1/2020
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: i VALUE OF WORK:
1530 SELVA MARINA DR MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3.5
HVAC TON $4900.00
TYPE OF REAL ESTATE I BUILDING USE
NUMBER:
CONSTRUCTION: ZONING: GROUP: SUBDIVISION:
I
171985 0000 SELVA MARINA UNIT 04
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: i STATE: i ZIP:
MOFFITT JOHN 1530 SELVA MARINA DR ATLANTIC BEACH FL 32233-5614
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.
I .
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 26400 $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
1ssued Date 1/3/2020 1 of 2
r
1''''% MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0003
ISSUED: 1/3/2020
„� CITY OF ATLANTIC BEACH EXPIRES: 7/1/2020
[
TOTAL:$107.00
Issued Date: 1/3/2020 2 of 2
Mechanical Permit Application "ALIINFORMATION
, . p pp HIGHLIGHTED IN
SrCity of Atlantic Beach Building Department GRAY IS REQUIRED.
'v .4 800 Seminole Rd. Atlantic Beach, FL 32233
' RC Phone: (904)247-5826 Email: l3urld�ng-DeptCPPcoal3 _I . otI:MIT N: R c 000
JOB ADDRESS 153'tSELVAMARNNADR PROJECT VALUE $4.900.00
C NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI p(REQUIRED)
0 Air Handling Fgrupmpnt Only 0 Condenser Only 0 Air Handling Unit& Condenser
A r Conditior'ing Unit Quantity ions per Unit
Heat Unit Quantity RTUs per Unit Seer Rating(REQUIRED)
Dt.ct S:stems- Total CFM
QREPLACEMENT AiR CONDITIONING& HEATING SYSTEM INSTALLATION API F!(REQUIRED) 31553E4
U Handling rqopat.nt Only In irtdc .,, v .'f.I; p/.r Handling Unit& Condenser
Per Conditioning Unit Quantity ' Ions per Unit ie
Heat Unit Quantity • BTU's Per Un . .'r•ix_. Seer Rating(REQUIRED)l',"
Duct Systems: Total CFM _______
FIRE PREVENTION
F-rc Sprinkler System Quantity (Requires 3 sets of pians)
Fire Standpipe Quantity tRequirsas 3 sets of plans)
Underground Fire Main Value (Requires A sets of plans)
Fire Hosts Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
DFIRE PLACES OMISCELLANEOUS:
Prefabricated Fireplace{Qty) Automobile Lifts
Gat Piping Outlets Boilers BTUs_______
Elevators/Escalators
CALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets .�. Pumps _
tt verted Wall Furnaces Refrigerator Condenser BTUs
Is Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
perm'*becomes void r work does not commence within a.this'north penod or work is suspended or abanrloiwd fors,montes. I^err-
cart Ty that 1 lave read this.isiil,..,tth)n and know the same to be true i'it i.r.irrt I All pr ovi s ons co, awn antcl n'din.rna r.suvrsrnlr 6 th.
wort will be complied with whc'-er spetifiec or not the perms dots not Rivc authnrity to ver ate:he o c is.ons of any nther.teir
Iocrr law reguialinn tonst•u:'lc,or the perlcomencr of;rmiruciie•,
Owner Name VALERIE MtOFFITT Phone Numoeu C ,567.8259 _ _
MettianitalC0,1par'y IX*'IOVANHEAT AAPI Office Picone I904i241-:3rxn _... _ Fat y -4•..3-45
CO Address: vs 8nI lkV[S City-•A BEACHState rt L p: 32265
License Holder. WIL!iAM DONOVAN State Ce tification{Registratio-i 44 CA0039r6'
Notarized Signature of License Holder t -••^--
I,ic 'o'egning ”sir...--sen: ad, 4:k...evrivoged before mP this 21W day of Ink' ) IOC,,in the Stat._o'a•--,v d. .
CoLnty of t''i KAI ! r� 1
Signature of Notary Pubic • 1A rt 'tieta' ----
- -�' ROANS L.TOt1PKINS I 10 Personally Known OR( j Produced Identlfkatron
4- j �"'�"� "`•` Type of identificatwn:
btiketa/lal fit i — vo+h,,•a i,, _4
IlmbrlimlrfalYras.a t
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Cash Register Receipt Receipt Number
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City of Atlantic Beach R11406
X13»`. ;i:
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $214.00
ACRS20-0003 Address: 1530 SELVA MARINA DR APN: 171985 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
FURNACES AND HEATING 455-0000-322-1000 26400 $24.00
•
AC AND REFRIGERATION 455-0000-322-1000 4 $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
ACRS20-0004 Address: 342 5TH ST APN: 169836 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 34000 $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: R11406 $214.00
Date Paid: Friday, January 03, 2020
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CB
Pay Method: CREDIT CARD 7
Op
Printed: Friday,January 03, 2020 3:30 PM 1 of 1 ill