46 15th St ACRS20-0043 Replacement r
S �' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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PERMIT ACRS20-0043
ISSUED: 2/24/2020
CITY OF ATLANTIC BEACH EXPIRES: 8/22/2020
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:
MECHANICAL RESIDENTIAL
46 15TH ST HVAC replace 4-ton 48K-BTU AHU $6000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170307 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
J &W HEATING AND AIR 5011 Sunbeam Road JACKSONVILLE FL 32257
OWNER: ADDRESS: CITY: STATE: ZIP:
TIMOTHY J GEDDES AND
SHERRI R GEDDES 46 15TH ST ATLANTIC BEACH FL 32233
IRREVOCABLE FAMILY
TRUS
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 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 2/24/2020 1 of 2
46-1-1,,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
tfr, Ai i PERMIT
ACRS20-0043
_ ISSUED: 2/24/2020
�, CITY OF ATLANTIC BEACH EXPIRES: 8/22/2020
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$115.00
Issued Date: 2/24/2020 2 of 2
/63636.54" **ALL INFORMATION
;, Mechanical Permit Application HIGHLIGHTED IN
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
/, 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Buiiding-Dept@coab.us PERMIT#: A i0 UOQ( 3
JOB ADDRESS: 46 15TH STREET PROJECT VALUE$6,000.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
El 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
(1REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 204837504
0 Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 4.0
Heat: Unit Quantity 1 BTU's Per Unit 48,000 Seer Rating (REQUIRED) 15.00
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 E3 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
OTHER:
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:TIM GEDDES Phone Number: (904)764-0040
Mechanical Company: J&W HEATING&AIROffice Phone: (904)764-0040 Fax(904)764-9621
Co.Address: 5011 SUNBEAM RD City: JACKSONVILLE State: FL Zip: 32257
License Holder: BRENT MARLER State Certification/Registration# CAC1815399
Notarized Signature of License Holder ;/-"----li__..._ rr
The foregoing instrument was acknowledged before me this /1/3'day of Tc •rf; ' , 20.1, in the S to of Florida,
County of tVQL 7
Signature of Notary Public 'grill' ear,
iio> AnnMarie A.Komatineni [personally Known OR [ ) Produced Identification
Nn'COMMlSsl0N�GU2o4o0I Type of Identification:
sem,,,y EXPIRES April 05.2022 Updated 10/9/18
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Cash Register Receipt Receipt Number
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� City of Atlantic Beach
R11810
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $115.00
ACRS20-0043 Address: 46 15TH ST APN: 170307 0000 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
•
AC AND REFRIGERATION 455-0000-322-1000 4- $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $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: R11810 $115.00
Date Paid: Monday, February 24, 2020
Paid By: J & W HEATING AND AIR
Cashier: FJ
Pay Method: CREDIT CARD 7
Printed: Monday, February 24, 2020 2:48 PM 1 of 1 it