371 3rd St ACRS20-0059 ,;SQL,';.%, MECHANICAL RESIDENTIAL HVAC _PERMIT NUMBER
PAIlloSA ACRS20-0059
i PERMIT
ISSUED: 2/25/2020
v CITY OF ATLANTIC BEACH EXPIRES: 8/23/2020
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:
371 3RD ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 3.5 $5850.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169823 9000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA AIR SERVICE & 150 HILDEN ROAD, #308 PONTE VEDRA FL 32081
ENGINEERING
OWNER: ADDRESS: CITY: STATE: ZIP:
EILERS ELIZABETH A 371 3RD ST ATLANTIC BEACH FL 32233-5231
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 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $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: 2/25/2020 1 of 2
' J. , MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
:r
n PERMIT ACRS20-0059
°— ISSUED: 2/25/2020
r ,. CITY OF ATLANTIC BEACH EXPIRES: 8/23/2020
TOTAL:$107.00
Issued Date:2/25/2020 2 of 2
"ALL INFORMATION
Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 AU k bZ0__ u0S9
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT:
JOB ADDRESS: 371 3rd St PROJECT VALUE $5,850.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI II(REQUIRED)
0 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
EIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI II(REQUIRED) `rj
1 k ..5-7
❑Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.5
Heat: Unit Quantity 1 BTU's Per Unit 42.000 Seer Rating (REQUIRED) 14.00
Duct Systems: Total CFM 1.400
]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
QOTHER: also installed new ductwork into addition
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: Elizabeth Eilers Phone Number:
Mechanical Company: Florida Air Service I&Enginerring IcOffice Phone: (904)823-9686 Fax( l 823-9995
Co.Address: 150 hilden road#308 City: Ponta Vedra State: a Zip: 32081
License Holder: John H. Sasser State Certification/Registration tt CAC051487
Notarized Signature of License Holder I4. S-6144eA cASCS.AM:
The foregoing- strument was acknowledged before me this ) day a1 'f(') /.' L? I -- ,�d4� 2
County of AA LLQ .;r•'i� '-.. ) ES.seo�g ,�
Signature of Notary Public '/ ,• ' EXP1�,,�Noss"-%
j \ 4• 1
[personally Known OR [ J Produced , - l `a
Type of Identification:
Updated 10/9/18
Cash Register Receipt Receipt Number
lar
City of Atlantic Beach R11833
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS20-0059 Address: 371 3RD ST APN: 169823 9000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $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: R11833 $107.00
Date Paid: Tuesday, February 25, 2020
Paid By: FLORIDA AIR SERVICE & ENGINEERING
Cashier: FJ
Pay Method: CREDIT CARD 10
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Printed:Tuesday, February 25, 2020 4:36 PM 1 of 1