225 5th St ACRS20-0019 c
y'''' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS20-0019
/ PERMITISSUED: 2/3/2020
;�„/ v CITY OF ATLANTIC BEACH EXPIRES: 8/1/2020
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: VALUE OF WORK:
225 5TH ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $6892.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170138 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:
FISCELLA MOLLY G 225 5TH ST ATLANTIC BEACH FL 32233-5311
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 34800 $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: 2/3/2020 1 of 2
gPERM-- MECHANICAL RESIDENTIAL HVAC
IT NUMBER
\t
PERMIT ACRS20-0019
ISSUED: 2/3/2020
`. .-nti CITY OF ATLANTIC BEACH EXPIRES: 8/1/2020
TOTAL: $107.00
Issued Date: 2/3/2020 2 of 2
Mechanical Permit Application “ALL INFORMATION
HIGHLIGHTED IN
40,
toi611`' City of Atlantic Beach Building Department GRAY IS REQUIRED.
// 800 Seminole Rd, Atlantic Beach, FL 32233 R C�
ar s-�' Phone: (904) 247 5826 Email: Buildln Uc t tL coag u aelttarr R: CO -c t
JOB ADDRESS: 7255 ST PROJECT VALUE$6e92.00
❑NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI a(REQUIRED)
0 Air Handling Fquipntert Only 0 Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity RIM;rit'r I snit Seer Rating IRCOUIREO)
Duct Systems: Total CFM
(REPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION AR!#(REQUIRED) '0487322
Q Air Handling Flom/nen(Onry 0 Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning Unit Quantity I Tons per Unit 3.6
Heat: Unit Quantity t BTU's Per Unit 34.503 Seer Rating(REQUIRED) te.oc
Duct Systems: Total CFM 1•: i �__,_,•,
❑FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Mair Value (Requires 3 sets of plans)
Fire How Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
ERRE PLACES ❑MISCELLANEOUS:
Prefabricated FirepFace (Qty) __ Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PtPING Heat Exchanger
Quantity of Outlets Pumps
II Vented Wall Furnaces Refrigerator Condenser BTUs
R Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
p OTHER:HE Ai.lN(,,JUL 1.4G.t c
Peenrt becomes wad if work Coes not commence wit,in 3 six inorth perod or work is suspenaed or abandoned for six^Ion:^s. I^.ereby
irrtlry that I ti lvr read Flus 44 4,1 I aeon arvi Imola I hr saner I u hr ti ti ,ret I I.,r;I All pr wit=unr,1414w..an.J ordtn.PKrt buvrrnb'yj this
work will tic co ino,ied with whether spe:i`Iea e,not The permit does^o:g re autho-ifv:o vic ate:'c prorislons of any other state or
Is.A law Y til;itk:nInr'1111 IuinIle!he Irr,furrm.introf;tin,Iltklin^
Owner Name:MOLLY FISCELLA Pho^,e N;uo bee .904)538 07
Mechanica'Company oON0VANt ATIIAIR office Pt^one (034)241-3785 Fax'SJ:71 41 3745
Co Address 3ts 6TH A•.tE 5 City: ICH State: 1-1 Zirs 3;l7SO
License Holder: WILLIAM DONOVAN State Certification/Registration it CAC039711
Notarized Signature of License Holder 4 I-..''r: t. :k_4.2,-
The foregoing Instrument Oto OS atkno•Aicoged be'oic rmc th-s 21 day of UtiesLlAdi t 20 20,In the State of I lixida,
County of__f)J. RLr� .
Signature of Notary Public V.4 1 _.-+ it_44,01.4.....
,•, Latvia,L I0fiall it; ( j vr•i.iop Aly Known OR( !Produced Identification
Can-+rwor t c,+;11955` Type of Idrntificatirsn:
r*`t+: wog air 2i x:I uaat.d iatit/n
hoera'►e Ler rpt brsQ ta4sts m!
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Cash Register Receipt Receipt Number
'� City of Atlantic Beach R11631
''.4.013 jr
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $107.00
ACRS20-0019 Address: 225 5TH ST APN: 170138 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 34800 $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: R11631 $107.00
Date Paid: Monday, February 03, 2020
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 9
Printed: Monday, February 03, 2020 11:36 AM 1 of 1 10