1611 Beach Ave ACRS20-0044 ,:o .v- , MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
q.# IA
� . PERMIT ACRS20-0044
u ISSUED: 2/19/2020
.��,�,� CITY OF ATLANTIC BEACH EXPIRES: 8/17/2020 Ii
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:
1611 BEACH AVE MECHANICAL RESIDENTIAL install new 1.5-ton 17.2K- $4700.00
HVAC BTU AHU
TYPE OF I REAL ESTATE ZONING: 1 BUILDING USE :
CONSTRUCTION: NUMBER: GROUP: SUBDIVISION:
169647 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
CONDITIONING 315 6TH AVENUE SOUTH BEACH FL 32250
OWNER: I ADDRESS: CITY: F STATE: ZIP:
WILKINSON HENRY
BROOKS 1611 BEACH AVE 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.
FEES.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 1.5 $5.00
FURNACES AND HEATING 455-0000-322-1000 17200 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 2/19/2020 1 of 2
i MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
-, tf ACRS20-0044
PERMIT
q1 �
ISSUED: 2/19/2020
,ft ,r CITY OF ATLANTIC BEACH EXPIRES: 8/17/2020
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$91.00
Issued Date: 2/19/2020 2 of 2
Mechanical Permit Application "All INFORMATIONHIGHUGHTE0IN
lib City of Atlantic Beach Building Department GRAY IS REQUIRCO.
.1 800 Seminole Rd,Atlantic Beach, FL 32233 ���y
" Phone: (904) 247-5826 Email: Building Dept(c�coab.tls rERtNIT r C S�o
-)OB ADDRESS: 'e't BEACH AVE. PROJECT VALUE$4 7OO.I
0NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!#(REQUIRED) °.t'r'-1130
0 Air Handling Woodmen(Only (3 Condenser Only E]Air Handling Unit& Condenser
Air Conditioning: Unit Quantity t Tons per Unit 1=
Heat; Unit Quantity'- BTUs per Unit r r.70__-_- Seer Rating!REQUIRED) tin-_
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR(#(REQUIRED)
0 Air Nordling Equipment Only 0 Condenser Only 0 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
FIRE PREVENTION
Fire Sprinkler System Quantity IRequires 3 setS of pians}
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__ _�
Eievatorsf Escalators _.
EALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
II Vented Wall Furnaces Refrigerator Condenser BTUs _-__
to Water Heaters Solar Collection Systems
Tanks(gallons) ---
Wells
OTHER:
mminimimminimmummilmeim
Peron be:tomes void I work docs r'ot commence with^a silt mons perrod lir,rork is su,oerded or,it..,ndoned try silt months ,htreby
certify t e'I have rear III,.ipp gat on ar'd iinoa:the same to Dr 1,6r:old cora,i '1i1 arovisiorn of lays anti ordinance,cover,int;this
weir wt be romps ed with whether sper Jird or not. The permit doe%•itit wive authority to viol.,tr Ve ofovrlrons of any iv torr state or
peal'nw Iegut.at cin r:rnst'uc;io,or the performance of,'onttoii110a
Owner Nilrne HENRY 1NILKtNZPQN __... "--
Phone Number'. ten)7,2-3'53
Mcet,;,rucal Company, DONOVAN MEAT&AR Office Phone: (9341241-311M Fa>;i.awa2a,-3rss
City; JA*REACH State rL lip. 122`tt0
(c Address:3t56�AVES
WILLIAM DONOVAN State CemftcatioePtegistration R CAC039TA'
License Holder ,/
Notarized Signoture of License Hoiden ',ic-4t t. C -
the tcrcgutr4t irntrumeit was acinoveledged before me this—16 _day of s``.ir...]r.y .10 2s,, in the State Of Florida.
C„unry of___,Q,1404. - Signiittee of Notary Public_Am/t1tl$4 ( t LL..
`i\ RICR* yeaseiaa43 )_ Versonrtty Known OR( (Produced idt ntiticatio•t
`C. A :caanrarnnI et;ti9Sb5 Type of Iderti`ication: —
�/F woo My 2i.2011 .,taYwm:evils
., F�tj Soda rU.Nig Ffierrior Staab JM9
IACash Register Receipt Receipt Number
JI,at•:•:: City of Atlantic Beach R11768
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $91.00
ACRS20-0044 Address: 1611 BEACH AVE APN: 169647 0000 $91.00
MECHANICAL $87.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $8.00
FURNACES AND HEATING 455-0000-322-1000 17200 $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: R11768 $91.00
Date Paid: Wednesday, February 19, 2020
Paid By: DONOVAN HEATING & AIR CONDITIONING
Cashier: FJ
Pay Method: CREDIT CARD 5
Printed:Wednesday, February 19, 2020 9:35 AM 1 of 1 i