1451 BEACH AVE - ACRS20-0036 S''''r MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0036
ISSUED:
CITY OF ATLANTIC BEACH
EXPIRES:
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:
1451 BEACH AVE MECHANICAL RESIDENTIAL replace 1200-CFM ducty $3500.00
HVAC system
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170304 0000 ATLANTIC BEACH
COMPANY: ADDRESS: ! CITY: STATE: { ZIP:
HAMMOND AIR 3412 GALILEE RD JACKSONVILLE FL 32207
CONDITIONING INC
OWNER: ADDRESS: I CITY: STATE: ZIP:
VOORHEES STEVEN C 1451 BEACH AVE ATLANTIC BEACH FL 32233-5733
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
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
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
TOTAL:$79.00
Issued Date: 1 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
,,r City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ((11 QQ ��]] r�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: A`0 a-to3k
JOB ADDRESS: 1451 BEACH AVE PROJECT VALUE $3,500.00
LJ 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)
❑Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM 1,200
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 (MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
[TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
i OTHER: DUCT MODIFICATION,REPLACING OLD DUCT UNDER HOME.
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:CELIA VOORHEES Phone Number: (404)402-1873
Mechanical Company: HAMMOND AIR CONDITIONING Office Phone: (904)398-6488 Fax
Co.Address: 3412 GALILEE ROAD City: JACKSONVILLE State: FL Zip: 32207
License Holder: BRANDON HAMMOND State Certification/Registration# CAC1816450
i
Notarized Signature of License Holder ; jai-7/./ .71., /�1,�,�/
The foregoing instrument was acknowledged before me this I ?_ day of 1-7e-brUcL,' , 20 LC in the State of Florida,
County of i)u J(N t_ �(���,
Signature of Notary Public— 1l- a c-,y K. 2 �`-)
0a,r''u4 NANCY JANE DEMPSEY U
' ... �� Commisslon#GG 301012 [y"Personally Known OR [ j Produced Identification
`i7` pkos Fury 12,2023 Type of Identification:
?or r,° ' aema i8uu Mgr NN•WyZM • Updated 10/9/18
fytr, 4k r, Cash Receipt Receipt Register Number
g p
City of Atlantic Beach R11712
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $79.00
ACR520-0036 Address: 1451 BEACH AVE APN: 170304 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
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: R11712 $79.00
Date Paid: Wednesday, February 12, 2020
Paid By: HAMMOND AIR CONDITIONING INC
Cashier: FJ
Pay Method: CREDIT CARD 5
Printed:Wednesday, February 12,2020 12:35 PM 1 of 1
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