1913 Mary St ACRS20-0039 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS20-0039
PERMIT ISSUED: 2/13/2020
CITY OF ATLANTIC BEACH EXPIRES: 8/11/2020
MUST CALL INSPECTION PHONE904247-5814 BY , PM FORDAY INSPECTION.
ALL • ' CONFORM i THE CURRENT • 1 OF • ' D+ 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: ALUE OF WORK:
1913 MARY ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $3150.00
HVAC TON
TYPE OF
• • GROUP:
172358 0100 LEWIS S/D
• ADDRESS:
AVALON HEATING AND AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207
LLC
• ADDRESS: oil STATE: ZIP:
CASTLE CLARK 1115 3RD AVE N JACKSONVILLE FL 32250-3531
BEACH
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 • •
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 45S-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 2/13/2020 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r f� ACRS20-0039
PERMIT ISSUED: 2/13/2020
CITY OF ATLANTIC BEACH EXPIRES: 8/11/2020
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2 00'
TOTAL:$99.00.
Issued Date: 2/13/2020 2 of 2
Mechanical Permit Application "`ALL INFORMATION
>� r� pp HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 r�►CZSZ® — �3
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1913 Mary Street Atlantic Beach FI-32233 PROJECT VALUE $3,150.00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons pet Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM _
❑✓ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 7995113
❑Air Handling Equipment Only ❑ Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 2.5
Heat: Unit Quantity _ _ BTU's Per Unit 30,000 Seer Rating (REQUIRED) 14.00
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 [MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts _
Gas Piping Outlets Boilers BTUs_
Elevators/Escalators
[7]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
F-JOTHER:
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:CASTLE CLARK Phone Number: (480)635-2275
Mechanical Company: Avalon Hearing and Air Office Phone: (904)245-1818 Fax
Co.Address: 3665 Spring Park Rd City: JacksonvOle State: FL Zip: 32207
License Holder. Tim Isparyan State Certification/Registration it CMC1249968
Notarized Signature of License Holder /// ,,,,��
The foregoing instrume t was acknowledged before me this Dov Yttay of PQ t(Cr 20J in the State of Florida,
l�
County of Ll.t1C
Signature of Notary Public
;:;....� sEacr s�sksH�t;K
[ ] Personally Known OR [ d Identification
NoWyPublic.Suit eir!end. Type of Identification:
Commission 41 GC v37.S+ Updated 10/9/i8
C-,r.Expire Dec S 2%3
®onoeC tNouS1`Nararii SC:1.,ASs
Cash Register •
DESCRIPTIONCity of Atlantic Beach R11713
• CITY PAID
PermitTRAK $198.00
ACRS20-0038 Address: 1911 MARY ST APN: 172358 0000 $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
FURNACES AND HEATING 455-0000-322-1000 30000 $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
ACRS20-0039 Address: 1913 MARY ST APN: 172358 0100 $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
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
STATE SURCHARGES $4,130
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL $198.00
Date Paid: Wednesday, February 12, 2020
Paid By: AVALON HEATING AND AIR LLC
Cashier: FJ
Pay Method: CREDIT CARD 9
Printed:Wednesday,February 12,2020 2:47 PM 1 of 1
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