1270 Ocean Blvd ACRS20-0047 , ;;11-iw%, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
�S �� ACRS20-0047
PERMIT
�t$ , �' ISSUED: 3/10/2020
,r;; , CITY OF ATLANTIC BEACH EXPIRES: 9/6/2020
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:
1270 OCEAN BLVD MECHANICAL RESIDENTIAL HVAC- 1A/C, 1 AHU, 2.5 TON $4100.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171823 0000 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
DONOVAN HEATING & AIR JACKSONVILLE
315 6TH AVENUE SOUTH FL 32250
CONDITIONING BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
STONE MITCHELL A 1270 OCEAN BLVD ATLANTIC BEACH FL 32233-5742
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
1
'Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 41000 $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: 3/10/2020 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0042
° � �" ISSUED: 3/10/2020
,� CITY OF ATLANTIC BEACH EXPIRES: 9/6/2020
TOTAL: $107.00
Issued Date: 3/10/2020 2 of 2
'1-' �::, Mechanical Permit Application "ALL INFORMATION
1 �� HIGHLHiHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
" 800 Seminole Rd, Atlantic Beach, FL 32233 l\L' l'Z , Z 0 _ O Off.
Phone:(904) 247-5826 Email:Building Deptracaab.us PERMIT a
JOB ADDRESS: 1270 OCEAN BLVD PROJECT VALUE$4,100.00
❑NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI d(REQUIRED)
El Air Handling Fquipment Only 0 Condenser Only 0 Air Handling Unit&Condenser
Air Conditioning: Unit Quantity ions per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(RFQUIRFO)
Duct Systems: Total CFM
DREPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION AN I(REQUIRED)1u6:1R"
Q Air Handling fquiprrwnt Only G Condenser Only 0 Air Handling Unit&Cnndenier
Air Conditioning: Unit Quantity 1 Tons per Unit 51
Heat: Unit Quantity BTU'S Per Unit 4'Xt') Seer Rating(REQUIRED) 14 CC
Duct Systems: Total CFM iZoc
❑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) Automobre Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
It Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Pein{t becomes Void It walk doer not commence within a six month period Or wars,s suspended or.ibatultw'ti ILA six months. I hereby
certify that I haw read this appkatioe and know the same to be true and correct. Al pro ons o' airs and will names gnve•rm++t U s
work wilt be complied with whether specl'edd or not The permit docs not give aulhotity to vie ate the_(cvi sons of any othe•state or
local taw imitation construction or tri-pr•for mdrr a of con stwctio^.
Owner Name:CHRISTINE STONE Phone Number:MO 5a6930e
Mechanical company-DONOVAN HEAT II.AIR Office Phone:1904)74.-3783 Fax:9c4124,3745
Co.Address- 31b CH AVE S City:JAY REACH State-FL zip:32250
License Hoiden iniLLIAA1 DONOVAN State Certiftatioo/Registration>t CACo3e?Er
Notarized Signature of License Holder _ WevC—
the foregoing instrument was acknow edges tielore mg this i ci day of feeemag—20 ,in the State of I lorida,
County of ouuA4
Si.rloture of Notary Public gAcwirl.,'_''....146,„.
RIO AImLTOtpgSS ( )Personally Known OR) )Produced Identification
tA-;7:00; C trti pn t 0011lbt5 Type of Identification:
Ettore My TA 7021 VPnwrditNVtit
SWAM law WO r�tid 100.1111-4111
ri r1�1!Jr
t Number
S°igh' Cash Register Receipt Recei p
V r v City of Atlantic Beach R11945
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS20-0047 Address: 1270 OCEAN BLVD APN: 171823 0000 $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 41000 $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: R11945 $107.00
Date Paid:Tuesday, March 10, 2020
Paid By: DONOVAN HEATING &AIR CONDITIONING
Cashier: LE
Pay Method: CREDIT CARD 1
Printed:Tuesday,March 10,2020 8:16 AM 1 of 1