58 Dudley St ACRS20-0075 Units 1,2,3,4 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS20-0075
jr ISSUED: 3/12/2020
r uai>% 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:
58 DUDLEY ST MECHANICAL RESIDENTIAL UNITS 1, 2, 3 & 4 HVAC 1 $9980.00
HVAC A/C, 1 AHU,1.5 TON EACH
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172213 0050 DONNERS R/P
COMPANY: ADDRESS: CITY: STATE: ZIP:
Xtreme Renovations LLC 100 Glorieta Drive St. Augustine Fl 32095
OWNER: I ADDRESS: CITY: STATE: ZIP:
STEELE ROBERT 235 7TH ST W JACKSONVILLE FL 32206
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.
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 6 $48.00
FURNACES AND HEATING 455-0000-322-1000 74000 $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
TOTAL: $135.00
Issued Date: 3/12/2020 1 of 2
5L'A rr) MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
Cr3 fsi
PERMIT ACRS20-0075
ISSUED: 3/12/2020
�;;�,,� CITY OF ATLANTIC BEACH EXPIRES: 9/8/2020
Issued Date:3/12/2020 2 of 2
oits,,:. ,..„ . Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Ir3, cps 2,0-007,5
'''``� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 58 Dudley St Atlantic Beach,32233 1r -� r Z.i PROJECT VALUE $9,980.00
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)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) AR1202630554
O Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 4 Tons per Unit 1.5
Heat: Unit Quantity 4 BTU's Per Unit 18.000 Seer Rating(REQUIRED) 14.00
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)
Li FIRE PLACES 7MISCELLANEOUS:
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.
Owner Name:Robert Steele Phone Number: (904)235-2373
Mechanical Company: xtreme Renovations. LL Office Phone: (904)533-8015 Fax
Co Address: 5644 Baywood Ter City: JacksonvilleZip: 32211
State: Fl
License Holder: Heath Thomas S State if Is ration# CAC1818314
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Notarized Signature of License Holder /L�' i `'t ''�
The foregoing instrument was acknowledged be . e me this 1 Z/day o 20 z , in the State of Florida,
County of 0(..../A L-
1/ �.����
Signatur• of Notary Public 1GMdliv
eta
y Pudic State of Florida
Teresa L Dutton
• i:kf•
e •r p My Commesion GG 358713
,f-1Personally Known OR [ ] Produced Identification
w,,,s� ExP"es 11/16/2023 Type of Identification:
Updated 10/9/18
„- Cash Register Receipt Receipt Number
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City of Atlantic Beach R11980
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $135.00
ACRS20-0075 Address: 58 DUDLEY ST APN: 172213 0050 $135.00
MECHANICAL $131.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 6 $48.00
FURNACES AND HEATING 4S5-0000-322-1000 74000 $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: R11980 $135.00
Date Paid: Thursday, March 12, 2020
Paid By: Xtreme Renovations LLC
Cashier: FJ
Pay Method: CREDIT CARD 7
Printed:Thursday, March 12,2020 4:36 PM 1 of 1 t