25 10TH ST - ACRS19-0299 P.
; MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ire PERMIT
ACRS19-0299
-7 v ISSUED: 2/11/2020
CITY OF ATLANTIC BEACHri EXPIRES: 8/9/2020
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:
MECHANICAL RESIDENTIAL replace 2-ton 22.2K-BTU
25 10TH ST HVAC AHU $3969.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170263 0090 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
AMARRB LLC 3604 RIVER HALL DR JACKSONVILLE FL 32217-4243
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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 22200 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.08
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.05
Issued Date: 2/11/2020 1 of 2
psi '-iiit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT Pr. ACRS19-0299
tiIz ISSUED: 2/11/2020
�,i,� CITY OF ATLANTIC BEACH EXPIRES: 8/9/2020
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL: $210.13
Issued Date:2/11/2020 2 of 2
A� ,"I i•ALt tta�pFltrtATloN
Mechanical Permit Application t''y �E ►�+
City of Atlantic Beach Building Department
O Seminole Rd, Atlantic Beach, FL 32233 _,ten p t� c��
,•' `, Phone: (904) 247-5826 Email: Buildin -Dept@COab-us PERMIT a: �•ls,_w
__ _ PROJECT VALUES f +t�+1t C" ,
)011 ADDRESS: ';';;a__-__I-
)
p fIEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION AR?0,; * qui (REQUIRAEONnndlinq Unit&Condenser
E]Afrr;dfrng Epment Univ 0 Condenser Only
Air Crre litrxnTons per UnitsttB: Unit Quantity -- BTUs per Unit Seer Rating(REQUIRED)
Heat. Unit Quantity
DUCT sterns: Total CFM
•REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR) aREtQU RED)Unit& ondenser
0 fl:r t•icn� 0 Condenser Only le ir1cG£qutprnent Only Tons per Unit _ �-
Air CcndldcnifF Unit Quantity 'I BTUs Per Unit et,:.,..c, Seer Rating(RECIUMEO)Lt 5 ___
Heat: Unit Quantity
Duct Systems: Total CFM _
OPIRE PREVENTION ;Requires 3 sets of plans)
Fire Sannkte-System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value
--
Quantity (Requires 3 sets of plans)
Fire*��sr C:abfnrts (Requires 3 sets of plans;
Cr S. j re Hoods Quantity (Requires 3 sets of plans)
fire`Y.ap(;resslon Systems Quantity ---
1°FIRE PLACES DMISCELLANEOUS:
PreAutomobile Lifts
Gas Piping
Fireplace(Qty) boilers BTUs
Gas r iping Outlets _ Elevators/Escalators _.__.--
Heat Exchanger DALE OTHER GAS PIPING Pumps ------_
4 eite of Out getsd Wall=urnates Refrigerator Condenser BTUs
VP�re
,;; al •s Solar Collection Systems
$ Tanks(gallons) .
Wells
THER:_
govern rig tr ,
Permit bacc-ses void if wa,rk does rot commerce wit.,in a sis month period or work b suspended or abandoned for six months I hereby
c rtify At I*ave month,'ar>pr+cat•un ani know the same to Pe true and correct. An provisions of te law asndsordinances
.inaa{cany es goher state rr
work,M I iwz c rip;ied wett,whetter specified or rot The permit does not give authority
iota'lire rNsdtlt;tri:cone•iit""'or"''perioririaricrorconstruction. y vim_
chore NumtSer.,
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it Fax 1.'>•t �1K'•
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State Centlscationf eg
E,ICense-lr.ider; itelLa.rtk•,s �—vW_9L-
Notarized ;y'••iuture of license Holder la a..„&- "
r da of Arsifni.c4_T ,201`,1n the State of Flor da,
the's•i,• i + Urni nt...c,adnow'•cdged before me this 1,1,_ Y —
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Signator[of Notary Public
aitii.U?ai.TCWPlial$ i`1
Personally Known OR( Produced Identifitabon
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Type of Identification � livoKyr i
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Cash Register Receipt Receipt Number
City of Atlantic Beach R11695
P-JF31,y,
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $210.13
ACRS19-0299 Address: 25 10TH ST APN: 170263 0090 $210.13
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING i 455-0000-322-1000 22200 $24.00
STATE SURCHARGES $5.13
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.08
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.05
WORK WITHOUT PERMIT $110.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL FEES PAID BY RECEIPT: R11695 $210.13
Date Paid: Tuesday, February 11, 2020
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 1
Printed:Tuesday, February 11,2020 10:37 AM 1 of 1 �`