1225 Selva Marina Cir ACRS20-0020 %'S0-'''"...rf.,,,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS2o-0020
Iii;-, ISSUED: 1/21/2020
\�;3 ,; CITY OF ATLANTIC BEACH EXPIRES: 7/19/2020
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:
1225 SELVA MARINA CIR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3.5 $3600.00
HVAC TON
TYPE OF REAL ESTATE BUILDING USE
CONSTRUCTION: ZONING: SUBDIVISION:
NUMBER: GROUP:
171912 0000 SELVA MARINA UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207
LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
SIFASKIS ALEXANDER 1225 SELVA MARINA CIR ATLANTIC BEACH FL 32233-5525
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $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
Issued Date: 1/21/2020 1 of 2
ri1.A,`'r%l MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r -' ACR520-0020
PERMIT ISSUED: 1/21/2020
� ;� CITY OF ATLANTIC BEACH EXPIRES: 7/19/2020
TOTAL: $107.00
Issued Date: 1/21/2020 2 of 2
Cash Register Receipt Receipt Number
'". City of Atlantic Beach R11521
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $107.00
ACRS20-0020 Address: 1225 SELVA MARINA CIR APN: 171912 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
•
FURNACES AND HEATING 455-0000-322-1000 42000 $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: R11521 $107.00
Date Paid:Tuesday,January 21, 2020
Paid By: AVALON HEATING AND AIR LLC
Cashier: LE
Pay Method: CREDIT CARD 08273Q
Printed:Tuesday,January 21,2020 2:28 PM 1 of 1
,xiuu,
�:-, .. 1 **ALL INFORMATION Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building DepartmentGRAY IS REQUIRED.
i-,
/ 800 Seminole Rd, Atlantic Beach, FL 32233 i -C;j`, 1� ZU - QC>Z-C)
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1225 Selva Marina Cir Atlantic Beach FL 32233 PROJECT VALUE $3,600.00
U NEW MR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity_ BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
✓1 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) (995401
❑Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Ions per Unit 35
Heat: Unit Quantity I BTU's Per Unit 42.000 Seer Rating (REQUIRED) 14.00
Duct Systems: Total CFM
IFIRE PREVENTION
Fire Sprinkler 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 Hose Cabinets 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 [i MISCELLANEOUS:
Prefabricated Fireplace (Qty) _ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
GALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTUs
it Water Heaters Solar Collection Systems _
Tanks (gallons)
Wells
iiiOTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby
certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or
local law regulation construction or the performance of construction.
Owner Name:SIFASKIS ALEXANDER
Phone Number: (904)755-7777
Mechanical Company:
Avalon Heatingand Air Office Phone: (904)245-1818 Fax __ ___
_ _ ._Co. Address: Spring
3665 Park Rd City: Jacksonville State: FL Zip: 32207
License Holder: Isparyan Tim Is a an State Certification/Registration it CMC1249968
Notarized Signature of License Holder -A
The foregoing instrument was acknowledged before me this),, day of it/I:UM-4i, 20in the State of Florida,
County of L fl(
Signature of Notary Public
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SERGEr SaRAFvLR ► [ ] Personally Known OR*14Produced Identification
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:vrrnms+on'GG 3l74e4 Type of Identification: PL-
, ... My:Om,' Exphes Dec S.1027 I Updated 10/9/18
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