162 Belvedere ACRS20-0054 , MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
__ _.., PERMIT ISSUED: 2/26/2020
ACRS20-0054
�►,,,� CITY OF ATLANTIC BEACH EXPIRES: 8/24/2020
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:
162 BELVEDERE ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2.5 $0.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170577 0000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING &AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
GAYNON DARLENE C 200 BELVEDERE ST ATLANTIC BEACH FL 32233-4109
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 25 $16.00
FURNACES AND HEATING 455-0000-322-1000 28000 $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: 2/26/2020 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
A4seti..a.4#,
1) PERMIT ACRS20-0054
ISSUED: 2/26/2020
4 j ,. CITY OF ATLANTIC BEACH EXPIRES: 8/24/2020
TOTAL:$99.00
Issued Date:2/26/2020 2 of 2
- , Cash Register Receipt Receipt Number
'v f City of Atlantic Beach R11835
DESCRIPTION ACCOUNT I QTY I PAID
PermitTRAK $99.00
ACRS20-0054 Address: 162 BELVEDERE ST APN: 170577 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 28000 $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: R11835 $99.00
Date Paid: Wednesday, February 26, 2020
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: CT
Pay Method: CREDIT CARD 1
Printed:Wednesday, February 26,2020 8:23 AM 1 of 1
1
Mechanical Permit Application ”ALL INFORMATION
i's
,i b MIGHIIGHTED IN
i
'+"';, City of Atlantic Beach Building Department
GRAY IS REQUIRED
" 800 Seminole Rd, Atlantic Beach, FL 32233
. p @ �e.RS ZO . 00Sz
''``'' Phone: 1904) 247-5826 Email Buildin Det coab.us PERMIT II
JOB ADDRESS; tat BELVEDERE ST PROJECT VALUE$4,100 00
0 NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit R Condenser
Air Conditioning. Unit Quantity Ions per Unit
Neat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
O REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI N(REQUIRED)411144t1
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity ' Ions per Unit z.5
Heat: Unit Quantity I BTU's Per Unit new Seer Rating(REQUIRED) +4.Co
Duct Systems: total CI-M
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 How 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 EJ MISCELLANEOUS:
Prefabricated Fireplace(Qty) Automobile Lifts
Gas Piping Outlets Boilers _ BTUs
Elevators/Escalators
GALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
R Vented Wall Furnaces Refrigerator Condenser BTUs
Ii Water Heaters Solar Coilecton Systems
tanks{gallons)
Wells
OTHER:
i'ermr becomes vat If work does not conscience within a v:meth priioti u•work i%nu,twndrd utu uneef'u.six months. I hnntrf
t:rei tfy Owl I hevr trail this appliiatinn and know the WI to be ttue an'cermet. Ml provisions at laws and°rttnances governing this
work wi I be complied with w-iethe•specified or not. the permit does-at give authority to violate the pravisiors of ary other state or
(ural i,sw regulat or%corm rurtuxn or Ole Ii )rrrr.wirr nr O,nsl*4r tell
Owner Namr;ANNAI RZ .Phone Number ‘:5o0:655.1405 — —
Meitwnrcal Company: DON.O'VAN.HEAT&MIR Office Phone: !'9041241-3785 Faxra(rri it--3745
Cc.Address:315 6TH A' S City: Kx I*ACi4 State Fc Zip:52250
License Holder; WILLIAM DONOVAN State Certification/Registration a CAC-33979'
Notarized Signature of License Holder ��-eL- >rt_• ,—.._
The fo•egomg Instrument was acknowledged before me this 7.4 day of Ki ,10tsi,In the State of Florida,
County of 'WttAL -
Signature of Notary Public T__.7,0w4.,hui r 1
: RICi+ARAL.rowlttacs irtPersonelly Known OA I I Produced idenbticatiun
'4N,Comirombn80G 1195E*r Type of Identification
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