982 Ocean Blvd ACRS20-0072 („s-. 1..A..-p-.124;...,4,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
-� PERMIT ACRS20-0072
.)v ISSUED: 3/12/2020
ri 1. CITY OF ATLANTIC BEACH EXPIRES: 9/8/2020
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:
982 OCEAN BLVD MECHANICAL RESIDENTIAL HVAC - 2 A/C, 2 AHU, 2 TON $20000.00
HVAC EACH
•
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170342 0000 ATLANTIC BEACH
PARKWAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
W.W. GAY MECHANICAL 526 STOCKTON STREET JACKSONVILLE FL 32204
CONTRACTOR, INC.
OWNER: ' ADDRESS: CITY: STATE: ZIP:
WOESSNER, BRIAN 982 OCEAN BLVD 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.
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 $2.00
Issued Date:3/12/2020 1 of 2
.S.`\'`J„,, MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,. , °, ACRS20-0072
uv x) PERMIT ISSUED: 3/12/2020
�;�, CITY OF ATLANTIC BEACH EXPIRES: 9/8/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 52.00
TOTAL: $115.00
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Issued Date: 3/12/2020 2 of 2
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Po;
Ll Cash Register Receipt Receipt Number
u, , City of Atlantic Beach R11977
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DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $115.00
ACRS20-0072 Address: 982 OCEAN BLVD APN: 170342 0000 $115.00
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 $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: R11977 $115.00
Date Paid: Thursday, March 12, 2020
Paid By: W.W. GAY MECHANICAL CONTRACTOR, INC.
Cashier: CT
Pay Method: CREDIT CARD 4
it
Printed:Thursday,March 12,2020 1:50 PM 1 of 1
Mechanical Permit An Application **ALL INFORMATION
`'' f HIGHLIGHTED IN
+`. City of Atlantic Beach Building Department
r
--
, Mechanical
IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
., ,.„11,.,.. Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT$f:
JOB ADDRESS: 982 Ocean Drive PROJECT VALUE $20,000.00
U NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
I,'PREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 10153792
❑Air Handling Equipment Only ❑ Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 2 Tons per Unit 2.0
Heat: Unit Quantity 2 BTU's Per Unit 24,000 Seer Rating (REQUIRED) 17.00
Duct Systems: Total CFM 1,600
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 n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
IALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
II Vented Wall Furnaces Refrigerator Condenser BTUs
14 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:Brian Woessner Phone Number: (904)571-3808
Mechanical Company: WW Gay Mechanical Contractor,Inc. Office Phone: (904)388-2696 Fax
Co. Address: 524 Stockton Street City: Jacksonville State: FL Zip: 32204
License Holder: David BoreeSta e Certification/Registration# CMCO29328
Notarized Signature of License Holder .- -) 07 --
I f �1 2 L'
The foregoin instrument was acknowledged before me this I�tl\ oof I {CL`C'('\ , 20 , in the State of Florida,
County oft c
Signature of Notary Publics –�l"`-�1 -)---'-)\---1„k„ . —
;�:"y�, PEGGY J. GRIFFIN ["1 e� rsonally Known OR [ J Produced Identification
t0. .: L�'t NOTARY PUBLIC STATE OF FLORIDA �/(�
• '"' :•= MY COMM.EXPIRES 7/6/2020 Type of Identification:
^; .fir.•i COMM.NO. OG5071 Updated 10/9/18