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755 Amberjack Ln ACRS20-0046 rst MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS20-0046 �g1 . PERMIT ISSUED: 2/19/2020 CITY OF ATLANTIC BEACH EXPIRES: 8/17/2020 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: 755 AMBERJACK LN MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3 TON $5253.00 HVAC TYPE OF REAL ESTATE I BUILDING USE CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION: 171198 0000 ROYAL PALMS UNIT 01 COMPANY: ADDRESS: CITY: I STATE: ZIP: OCEAN STATE HEAT & AIR, 1476 ATLANTIC BLVD NEPTUNE BEACH FL 32266 INC. OWNER: ADDRESS: CITY: STATE: ZIP: STANFORD RICHARD 755 AMBERJACK LA ATLANTIC BEACH FL 32233 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 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: 2/19/2020 1 of 2 %S'`vir'c. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER r 3 ACRS20-0046 Tiair , � PERMIT ISSUED: 2/19/2020 CITY OF ATLANTIC BEACH v, / EXPIRES: 8/17/2020 TOTAL:$107.00 Issued Date: 2/19/2020 2 of 2 Mechanical Permit Application **ALL INFORMATION J -y_.-;_,--,-,„\ HIGHLIGHTED IN t City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 \CRS zo Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 'I t Q �IAr�-� PROJECT VALUE $ 5 X53 J ❑NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) o Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFMs'p (( ,, REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) q 15-lo ('1� ©Air Handling Equipment Only ElCondenser Only I,Air Handling Unit& Condenser Air Conditioning: Unit Quantity l Tons per Unit 3 Tcv Heat: Unit Quantity 1 BTU's Per Unit 34,'o0 - Seer Rating(REQUIRED) I(0.0XS Duct Systems: Total CFM EFIRE 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 EI MISCELLANEOUS: Prefabricated Fireplace (Qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators ❑ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks(gallons) Wells QOTHER: 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. &IC (� ,/Q— Owner Name: WO 'r • t\.10.64-(4 11 ki tuber: -10C )'i 141,25 1 Mechanical Company: OCEAN STATE HEATING&AIR Office Phone: (904)249-8251 Fax(904)249-8949 CO.Address: 1476ATLANTF-BLVD. k -_ City: NEPTUNE BEACH State: FL Zip: 32266 License Holder. J. GLENN e State Certification/Registration# CAC049310 Notarized Signature of Licens olderII The foregoing instrument viwas ackno•, -••;-d before me this (1 day of -KBD • ,2020 , in t State of Florida, County of I)IN ct b� Iiiihoillhdlbserahir Signature of Notary Public inCi "''•'v""" YVETTE P.MORALES I i�r ., Notary Commissssion#State 00069 02da I1 ersonally Known OR[ ] Produced Identification , :_.,_ - My Comm.Expires Mar 2,2021 (Type of Identification: 1 r'i n- Bentl@B Oita*National Notary Assn. Updated 10/9/18