1253 Selva Marina Cir ACRS20-0053 ''' ' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0053
ISSUED: 2/21/2020
f3,/ CITY OF ATLANTIC BEACH EXPIRES: 8/19/2020
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:
1253 SELVA MARINA CIRCLE MECHANICAL RESIDENTIAL HVAC- 3 A/C, 3 AHU, 2-3 $32000.00
HVAC TON & ONE 2 TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COMPANY: ADDRESS: CITY: STATE: ZIP:
ENVIRONMENTAL AIR 8110 CYPRESS PLAZA DR STE 106 JACKSONVILLE FL 32256
SERVICES,INC
OWNER: ADDRESS: CITY: STATE: ZIP:
DORMESHIAN ANDREW 776 PROVIDENCE ISLAND CT JACKSONVILLE FL 32225
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 8 $64.00
FURNACES AND HEATING 455-0000-322-1000 96000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.21
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:2/21/2020 1 of 2
Sr'il',v;yJ, MECHANICAL RESIDENTIAL HVACiiiPERMIT NUMBER
r ACRS20-0053
jPERMITISSUED: 2/21/2020
1`-1.OnCITY OF ATLANTIC BEACH EXPIRES: 8/19/2020
TOTAL:$151.21
Issued Date: 2/21/2020 2 of 2
!-Qik Mechanical Permit Application **ALL INFORMATION
�frAs� �� HIGHLIGHTED IN
0, City of Atlantic Beach Building Department GRAY IS REQUIRED.
157WAllz1800 Seminole Rd, Atlantic Beach, FL 32233 r`,l L isZ-0 -0053
``,,t, Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: r/25-3 i/t/+ct /14417 A C.Ir ,, PROJECT VALUE$ 3.2r c oO
Fr NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) -
❑ Air Handling Equipment Only ❑ Condenser Only %Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 3 Tons per Unit 3, 312
Heat: Unit Quantity2BTUs per Unit Seer Rating (REQUIRED) /9.v
Duct Systems: Total CFM oO 4/0°`)
y,
fl REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ 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
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
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
I 1OTHER:
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 ooJf construction.__
I�X�
Owner Name: IA Ale sill"/t / /V , -cw5� Phone Number:
Mechanical Company: 6k1O/VMiN'��Tf=C. /4B.- CA77'a"', Office Phone: Fax
Co. Address: 81 (4.4.4.... /4- i/UCo / City: 3-4•14.- State: f-Zip:3'_.a..c
License Holder: At /r S44DState Certification/Registration# C �5700"
Notarized Signature of License Holder /�
The forego n instrumen was acknowledged before me t is of F ` , 20 -,,in the State of Florida,
County of ) I 0.-- _
Signre of Notary Public Q
Y P•••% TONI GtNDLESPERGER
_4 ;,•: MY COMMISSION# 353178 -1-] Personally Known OR [ ] Produced Identification
,2023
..,;,"`t%"• EXPIRES:Octobe• undery rs Type of Identification:
•�.f di i.?e' Bonded Thru Notary •Public Undervrrfle _ Y p
Updated 10/9/18