133 Beach Ave ACRS20-0009 Duct Modifications r',41, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
' , °a�. PERMIT ACRs2o-0009
urs ISSUED: 1/9/2020
\- :t1,; CITY OF ATLANTIC BEACH EXPIRES: 7/7/2020
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:
133 BEACH AVE MECHANICAL RESIDENTIAL DUCT MODIFICATIONS $1900.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170213 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:
SCROGINS WILLIAM C 2000 CHEROKEE DR NEPTUNE BEACH FL 32266
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 C17NDI ION_
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 I $20.00
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
TOTAL: $79.00
Issued Date: 1/9/2020 1 of 2
,;1!..0,.. ., MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0009
uv , ISSUED: 1/9/2020
��1;„� CITY OF ATLANTIC BEACH EXPIRES: 7/7/2020
I
Issued Date: 1/9/2020 2 of 2
, ,
¢- Cash Register Receipt Receipt Number
$(1; City of Atlantic Beach R11445
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $79.00
ACRS20-0009 Address: 133 BEACH AVE APN: 170213 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
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: R11445 $79.00
Date Paid:Thursday,January 09, 2020
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: LE
Pay Method: CREDIT CARD 1
Printed:Thursday,January 09,2020 9:50 AM 1 of 1 �j
Mechanical Permit Application "ALL•NFORMATlON
• to l p tils, HIGKI(HTEU IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
..V 800 Seminole Rd, Atidnt•:_ Beach, FL 32233 (1�C a ��
. / Phone: 1904: 247 582i) Email Hiiildit. ' .ieptticoab.us PERMIT 6` d0
JOB ADDRESS: 133 fseacn Ave PROJECT VALUE$1.900.00
J NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!It(REQUIRED)
0 Air Handling Equipment On', C)Condi.; ,17 Only 0 A.r Handling Unit&Condenser
Ar Conditiormg Unit Quantity _ 'ars per Unit
Heal Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct.Syste' Total CEM
❑REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Air Handling Equipment Or:' 0:- •,:ii '•-,:•i r',at, a A handling Unit&Condenser
A r Conditioning- Unit Quantity un-. t:rr _'•irt
Peat Unit Quantity BTU 1 ' Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑FIRE PREVENTION
Fire Sprinkler System Quantity (Rcou=res 3 sets of pIansi
Fire Standpipe Quantity (Requ•res 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requ+res 3 sets of plans)
Commicial Hoods Quantity _._Comercial (Requires 3 sets of plans) •
Fire Suppression Systems Quantity __ (Requires 3 sets of plans)
[]FIRE PLACES EDMISCELLANEOUS:
Prefabricated Firep`ace(Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
E:evators/Escalators
❑All OTHER GAS PIPING Heat Exchanger _.
Quantity of Outlets Pumps
R Vented Wall Furnaces Refrigerator Condenser BTUs
R Water Heaters Solar Collection Systems
Tanks!gallons)
Wells
D OTHER:ouc;hbese soars
Permit becomes void i work dors not commence wsthin a 5i■month period or wo'k is susprr'ded or abandoned for se+month, hereby
certify!hal i have toad Mrs ipplicat un r•ut kni W'tht symt to tie trur and more.' Ail provifiMs of laws,r-si ordinances no were met t"i.
work aniI be complied with*nether spec fled or not The.^rrmrt does not we gar-nr.Iy to rotate t*e provisin^•s of a,y s i c:it'Ci
hail A regulat.on construct'tin ru the performance of .onitrurililt)
OW Nor Name IMctt POrtWOOtE_ Phone Number:�i9rl33G10
d rcveri-mai d ali Office PI-Gni' :K4-24'-77!!6 Faxivial..41—'745
Mr-:rCir,iie Comps^; ....._
Co Andress 3:5&a woe r City Jaz toad State:a lip 37260
License Holder' wiuiam donovan State Certifir st,nr;nevi t•dt;or,R crno0:l9111
Notarized Signature of license Holder •,'+_.,'=- +w-..=-'-
The foregoing instrument was acknowledged b.fur, me this day of ,11krAu ,- .20:49...in the-State Of Florida,
County of l s Wit _
S tnature of Notary Pubbc f i . y.,,t , •'.:
RIG-tilkOL TOYI'l.74 14 Personally Known OR f I Produced tae,,,,i, i•,'
f* h 'r': anice�on it GG IIIEAS Type of Identification.;, ��e�lK .W)Eistris July 3O?JI t rs@ WNW
' .:.J E .e new IR .iMe..•a)I.wIfila`