1242 Beach Ave ACRS20-0077 rf"'f MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS20-0077
PERMIT
ISSUED: 3/16/2020
CITY OF ATLANTIC BEACH EXPIRES: 9/12/2020
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:
1242 BEACH AVE MECHANICAL RESIDENTIAL 1 A/C, 1 AHU, 2 TON $4800.00
HVAC
TYPE OF d REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: ' GROUP:
171828 0000 MANDALAY
COMPANY: ADDRESS: CITY: I STATE: ZIP:
AIR DECISION INC 8110 Cypress Plaza Dr#303 JACKSONVILLE FL 32256
OWNER: ADDRESS: CITY: STATE: ZIP:
KING JOHN ANTHONY 1242 BEACH AVE 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.
L
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 800 $20.00
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:$79.00
Issued Date: 3/16/2020 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
,
- ,
PERMIT ACRS20-0077
,-, -
ISSUED: 3/16/2020
L_______\-t_oitg,2%-// CITY OF ATLANTIC BEACH EXPIRES: 9/12/2020
Issued Date:3/16/2020 2 of 2
Mechanical Permit Application **ALL INFORMATION
isi, 0%.--An,,, M� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
'�' �, 800 Seminole Rd, Atlantic Beach, FL 32233 k C,l2-S Z C - 0c5-2
7
�``';:`', Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: f,,. ( 1- o 4
JOB ADDRESS: , a 4 e--c52 CA A VC PROJECT VALUE $ 11800—
NEW
1 —NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) (.73'Z,6'42._
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity ( Tons per Unit
Heat: Unit Quantity k BTUs per Unit .2. C> Seer Rating (REQUIRED) I
Duct Systems: Total CFM gcto Z 040
1 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only Af Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
14:Duct Systems: Total CFM epJ
❑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)
n FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
I '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: Sum&i aKd j jcL'ui E t l4 `j Phone Number: /0 4 4)1,6 61,5"-T-#�� / � V
Mechanical Company: 4 'I\ 't ko(_fr c,Ito Li Wt r Office Phone: ga 214est ty Fax
Co. Address: oto C&pf+e.•S I Q j A"1+ City:_ :3c State: F( Zip: ..52 .5
License Holder: Q t?I cfpl vl State Certification/Registration# leg cy
Notarized s'• ature of License Holder �( \
The foreg Jing in t u ,-nt was cknowledged before me this l,v•ay of AkcI- 20_P e State of Florida,
County o'. C 1
Signature of Notary Pu• -•' - :1i -e--,
ptr I �
ti�YP(''•. TONT GINOLESPERGER ersonally Known OR t Produced Id on
: •' ',
d,: c•� ,: MY COMMISSION#GG 353178 Type of Identification:, �v .
. , b: EXPIRES:October 6,2023III
Updated 10/9/18
;�P' Bonded Thru Notary Public Underwriters