528 Aquatic Dr ACRS20-0070 , t'LAP./r%r, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
s�° ''
isPERMIT ACRS20-0070
,
111, ISSUED: 3/9/2020
`'.--`1,;1," CITY OF ATLANTIC BEACH EXPIRES: 9/5/2020
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 HVAC 1 A/C, 1 AHU, 2 TON
528 AQUATIC DR HVAC AND ELECTRIC WATER $6550.00
HEATER
TYPE OF REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5176 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: ZIP:
GRIFFIN
OWNER: ADDRESS: I CITY: STATE: ZIP:
FOWLE LEWIS 528 AQUATIC DR ATLANTIC BEACH FL 32233
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.
pa
S
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.10
Issued Date: 3/9/2020 1 of 2
r11-u'`,,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER I
PERMIT ACRS20-0070
ovze ISSUED: 3/9/2020 I
��,�,. CITY OF ATLANTIC BEACH EXPIRES: 9/5/2020
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 1 $5.00
-
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL:$215.25
Issued Date:3/9/2020 2 of 2
Mechanical Permit Application **ALL INFORMATIONOffr HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
i 800 Seminole Rd, Atlantic Beach, FL 32233 ResZ Cp-UO 70
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT ft:
JOB ADDRESS:
528 Aquatic Dr Atlantic Beach, FL 32233 PROJECT VALUE $5,500
[]NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI tt(REQUIRED) 7998736
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit & Condenser
Air Conditioning: Unit Quantity _ Tons per Unit
per Unit Quantity
BTUs Unit Seer Rating (REQUIRED) 528.00
Duct Systems: Total CFM
I✓}REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
Condenser OnlyIp Air Handling Unit & Condenser
❑ Air Handling Equipment Only 1E1 Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.0
Heat: Unit Quantity I
BTU's Per Unit 24,000 Seer Rating (REQUIRED) 14 00
Duct Systems: Total CFM t c{SUL
(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 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets
Boilers BTUs
Elevators/Escalators
TALL 0THE SPI _ — ELEQ--T ---(C— Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters _1-__ S t,OoD 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:Traci Fowle
Phone Number: (904)402-5722
Mechanical Company:
Griffin Service Office Phone: (904)500-2653 Fax
Co. Address:
1515 CountyRoad 210.SVIO
0 City: St.Johns State: FL Zip: 32259
') ci r AState Certiegistration# CMC1250697
License Holder: Thomas Casey Jr _, fl
Notarized Signature of License Holder
4
frl
The foregoin ir\5tru ent was acknowledged before me tht C ay ofl:_k_
, 2Ux', in the State of Florida,
County of S '_ '� ��« /i-> w c' v,rr--c--�X--
I.
signature of Notary Public �
1 Notary Public Stets of Floods
Barbara Z eon Ly2ch
4
My Comrrnsaw�GG 290382 'ersonally Known OR ( ] Produced identification
Noor Expires 01/10/2023 pe of Identification:
Updated 10/9/18
'rt"Lyr/J,
`` � Cash Register Receipt Receipt Number
'V City of Atlantic Beach R11941
-01119f-
dll
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $215.25
ACRS20-0070 Address: 528 AQUATIC DR APN: 171818 5176 $215.25
MECHANICAL $100.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $24.00
VENTED WALL FURNACE WATER HEATER
455-0000-322-1000 1 $5.00
UNIT
STATE SURCHARGES $5.25
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.10
WORK WITHOUT PERMIT $110.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL FEES PAID BY RECEIPT: R11941 $215.25
Date Paid: Monday, March 09, 2020
Paid By: GRIFFIN
Cashier: CT
Pay Method: CREDIT CARD 5
Printed: Monday, March 09, 2020 1:49 PM 1 of 1