1801 Selva Marina Dr ACRS20-0018 (--;,1„tv.,:--oc, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
)
'
PERMIT
sACRS20-0018
,
V ISSUED: 1/21/2020
�. - 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: I DESCRIPTION: VALUE OF WORK:
1801 SELVA MARINA DR MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3.5 $5000.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0706 SELVA MARINA UNIT 10
COMPANY: ADDRESS: CITY: STATE: ZIP:
DAVID A TAYLOR HEATING 5465 CLIFF ST JACKSONVILLE FL 32205
&AIR
OWNER: ADDRESS: CITY: STATE: ZIP:
JENNIFER & CURTIS HILL 10 10TH ST 38 ATLANTIC BEACH FL 32233
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 39500 $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
,'_,,`- MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
�
`., ACRS20-0018
1 - PERMIT
o „ � � ISSUED: 1/21/2020
r,{, CITY OF ATLANTIC BEACH
EXPIRES: 7/19/2020
TOTAL: $107.00
Issued Date: 1/21/2020 2 of 2
Mechanical Permit Application "ALL INFORMATIONHIGHLIGHTED IN
City of Atlantic Beach Building Department
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
ACr2-zo--c I s
Phone: (904) 247-5826 Email: Buliding-Dept@coab.us PERMIT#: Res19-033'+
JOB ADDRESS: 1801 Selva Manna Drive PROJECT VALUE$ 53.)0
0 NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)raa y@lp3)
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity I Tons per Unit .3
Heat: Unit Quantity I BTU's Per Unit -�r--)3D Seer Rating(REQUIRED)
Duct Systems: Total CFM
In FIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity
Underground Fire Main Value (Requires 3 sets of plans)
(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
FIRE PLACES [MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
Gas Piping Outlets
Boilers _ BTUs
Elevators/Escalators
fALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water HeatersSolar Collection Systems
Tanks(gallons)
Wells
OTHER:
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.
Phone Number: !904l 7e3-6800
Owner Name:David A Taylor
Mechanical Company:
David A Taylor Air Conditioning and Heating Office Phone: (904)783.8800 Fax
Co.Address: 54esCliff sueet
City: .iacicsonv4le State: FL Zip: 32205
License Holder: Jeri v, d IQ I//r. /2 State Certification/Registration# CAC O 3 51 2,
Notarized Signature of License Holder ernef7.w4
The foregoing instrument was acknowledged before me this:/ day of i 209;{1,in the State of Florida,
County of Dtvt, r1 r
Signature of Notary Public"J�/�. . /
.'f".°. toCHEI ESCOTT Produced Identification
i•• �'�• ConrnasGG 144490 ( Personally Known OR
a
F .siw y2 2an Type of Identification: Updated 10/9/18
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