171 JACKSON - UNIT 173 ACRS20-0024 o �'`' MECHANICAL RESIDENTIAL HVAC
rC PERMIT NUMBER
PERMIT ACRS20-0024
r. ISSUED: 1/24/2020
Ji31,;, v CITY OF ATLANTIC BEACH EXPIRES: 7/22/2020
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:
171 JACKSON RD MECHANICAL RESIDENTIAL UNIT 173 HVAC- 1 A/C, 1 $3326.00
HVAC AHU, 2.5 TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172129 0200 DONNERS S/D PT LOT 2
17-
COMPANY: ADDRESS: CITY: STATE: ZIP:
Elite AC, LLC 6060 Chester Circle JACKSONVILLE FL 32217
OWNER: ADDRESS: CITY: STATE: ZIP:
D & L ENTERPRISES LLC 13925 HUNTERWOOD RD JACKSONVILLE FL 32225-1905
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.
4
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 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 27800 $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: 1/24/2020 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
;� PERMIT ACRS2O-0024
ISSUED: 1/24/2020
CITY OF ATLANTIC BEACH EXPIRES: 7/22/2020
TOTAL: $99.00
Issued Date: 1/24/2020 2 of 2
Mechanical Permit Application ••ALL INFORMATION
HIGHLIGHTED 1N
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 0,(S'114.74 `
``• Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1.4ecxa«1Roi wit 173 PROJECT VALUE$ , 3 a o
❑NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION AR/#(REQUIRED)
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
QREPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 7995113
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit 2.5
Heat: Unit Quantity 1 BTU's Per Unit 27,800 Seer Rating (REQUIRED) 14
Duct Systems: Total CFM
( )FIRE 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 IT 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
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
U OTHER: HVAC Change Out Goodman 2 5 ton 14 seer GSZ140301 ARUF31614
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:Regina Lyles L C_.r1\(*- t . Phone Number:904.610-2469
Mechanical Company: EiNACLLC Office Phone: 904-323-4611 Fax
Co.Address: 8060 Chest&Circie r :Jacksonville State: FL Zip: 32217
License Holder: Robert Grantfida` r ion/Registration# CAC1818659
Notarized Signature of License Holder • •
The foregoi�g instrument was acknowledged before me this 3.3 day of 5Gnti.4<. ,20e2C,in the State of Florida,
County of f
!!!1 Signature of Notary Public. irea./ G 4-zrz rr-A
wr JESSICA ALCACHRAN LikPersonally Known OR ( I Produced Identification
'
+ " ' Type of Identification:
Commissional;GG 338020
p` Expires Nay 23,2023 undated 10/9/18
o•! •: Bonded Thr,Troy fain Insurance 800-3&57610
SCJ-
if
J rf Cash Register Receipt Receipt Number
J� S
,r -- City of Atlantic Beach R11552
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $154.00
ACRS19-0357 Address: 1945 BRISTA DE MAR CIR APN: 169506 1660 $55.00
MECHANICAL HVAC FINAL**01/13/2020 RBE $55.00
MECHANICAL HVAC FINAL**01/13/2020
455-0000-322-1002 0 $55.00
RBE
ACRS20-0024 Address: 171 JACKSON RD APN: 172129 0200 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
r--
FURNACES AND HEATING 455-0000-322-1000 27800 $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: R11552 $154.00
Date Paid: Friday, January 24, 2020
Paid By: Elite AC, LLC
Cashier: CT
Pay Method: CREDIT CARD 14
Printed: Friday,January 24, 2020 1:25 PM 1 of 1