1945 Seminole Rd ACRS20-0067 rs'A'\'%� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0067
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r �" ISSUED: 3/6/2020
�,i- --, CITY OF ATLANTIC BEACH EXPIRES: 9/2/2020
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
1945 SEMINOLE RD HVAC HVAC - 1 A/C, 1 AHU, 4 TON $4995.00
TYPE OF i REAL ESTATEZONING: a BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169542 0518 BEACHSIDE
COMPANY: ADDRESS: CITY: STATE: , ZIP:
MIKE MERRITT HEATING & 1033 BLANDING BLVD UNIT 305 ORANGE PARK FL 32073
AIR
OWNER: ADDRESS: CITY: i STATE: ZIP:
MARCH DOMINIC G 1945 SEMINOLE RD ATLANTIC BEACH FL 32233-5917
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. !
1
- -- _.
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
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.32
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.21
Issued Date: 3/6/2020 1 of 2
�s�s '.` MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER I
itr
PERMIT ACRS20-0067
z ISSUED: 3/6/2020
•-.I.iii.) CITY OF ATLANTIC BEACH EXPIRES: 9/2/2020
WORK WITHOUT PERMIT 455-0000-322-1000 0L
TOTAL: $226.53
Issued Date: 3/6/2020 2 of 2
Mechanical Permit A nlication "ALL INFORMATION
,f,'��"'�"`� PM HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Deptwcoab.0 PERMIT#:
JOB ADDRESS: 1945 SEMINOLE RD PROJECT VALUE $4,995.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(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) t4 00
Duct Systems: Total CFM
EREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED) 9158493
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 4.0
Heat: Unit Quantity 1 BTU's P€Unit 1$000 Seer Rating (REQUIRED) 1400
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 7 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. Z 7 Z - B Z OC)
Owner Name:DOM MARCH Phone Number: (904)246-3317
Mechanical Company: MIKE MERRITT HEATING AND AC INC Office Phon (904)26249 Fax(904)264-0680
CO.Address: 1033 BLANDING BLVD UNIT 305 City: ORANGE PARK State: FL Zip: 32065
License Holder: STEPHEN M. MERRITT State Certification/Registration# CAC050384
940(Lz---7;/—
Notarized Signature of License Holde -`AA -
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r
The foregoiry instrument was acknowledged before me this (p da of M,it1V_'\. , 20 20, in the State of Florida,
County of Lt,
f Signature of Notary Publi .v,x� � �
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44,,,,,t/.4,,,, SUMMER J.HACKNEY �(�] Personally Known OR [ I Produced Identification
• C, �1-
,�° � �: Notary Public -State of Florida ype of Identification:
., Commission M GG 017188
Updated 10/9/18
,,,.��0, My Comm Expires Aug 1. 2020
Bonded through National Notary Assn
‘04
?f�•=L�jfr
"t rft Cash Register Receipt Receipt Number
City of Atlantic Beach R11923
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $226.53
ACRS20-0067 Address: 1945 SEMINOLE RD APN: 169542 0518 $226.53
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 $5.53
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3 32
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.21
WORK WITHOUT PERMIT $110.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL FEES PAID BY RECEIPT: R11923 $226.53
Date Paid: Friday, March 06, 2020
Paid By: MIKE MERRITT HEATING &AIR
Cashier: CT
Pay Method: CREDIT CARD 2
1004,-
Printed: Friday,March 06,2020 1:21 PM 1 of 1 1'
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