254 S Oceanwalk Dr ACRS20-0063 iMECHANICAL RESIDENTIAL HVACitli. PERMIT NUMBER
is ACRS20-0063
V� PERMIT ISSUED: 3/3/2020
CITY OF ATLANTIC BEACH EXPIRES: 8/30/2020
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:
254 S OCEANWALK DR MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 2.5 $7200.00
HVAC TON EACH
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0508 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
J & W HEATING AND AIR 5011 Sunbeam Road JACKSONVILLE FL 32257
OWNER: ADDRESS: CITY: STATE: ZIP:
BRANDSTAETTER 254 OCEANWALK DR S ATLANTIC BEACH FL 32233-4676
RAYMOND
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 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
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: 3/3/2020 1 of 2
OC.,•S�''\lrl" MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
` ACRS20-0063
PERMIT ISSUED: 3/3/2020
.:\J;1,,; CITY OF ATLANTIC BEACH EXPIRES: 8/30/2020
TOTAL: $127.00
Issued Date: 3/3/2020 2 of 2
JS ri�,flf�.
Cash Register Receipt Receipt Number
211111111 s)
City of Atlantic Beach R11883
�JF- Mill
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $127.00
ACRS20-0063 Address: 254 S OCEAN WALK DR APN: 169463 0508 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
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: R11883 $127.00
Date Paid: Tuesday, March 03, 2020
Paid By: J & W HEATING AND AIR
Cashier: FJ
Pay Method: CREDIT CARD 3
/-:
Printed:Tuesday, March 03,2020 2:44 PM 1 of 1
Mechanical Permit Application *'ALL INFORMATION
fE
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
:A 0 Wszo -00( 3
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 254 OCEANWALK DR S PROJECT VALUE $7.200.00
U NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
✓ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9154971
El Air Handling Equipment Only D Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 2 Tons per Unit 2.5
Heat: Unit Quantity 2 BTU's Per Unit 30,000 Seer Rating (REQUIRED) 15.00
Duct Systems: Total CFM
TIFIRE 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)
pi FIRE PLACES (MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
HALL 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:DIANE LATTA / i_ ,r-Q .-kd 5-i•cze Phone Number: (904)247-2867
i
Mechanical Company: J&W HEATING&AIR Office 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 It CAC1815399
Notarized Signature of License Holder
The foregoin lnstrume as acknowledged before me this day ofd , 20. 9, in the State of Florida,
County of
Signature of Notary Public ,
ti IlZ PAIN /04 [Xersonally Known OR [ i Produced Identification
S61LI1£`9#NOISSIWW03AIN7
NOSI)NVHDRI ANH USHN „,d' Type of Identification:
Updated 10/9/18