951 Hibiscus ACRS20-0169 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
SAPIA JOAN I TRUST 1655 SELVA MARINA DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
BROWARD FACTORY
SERVICE BFS 2071 Emerson St. #16 Jacksonville FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170948 0450 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
951 HIBISCUS ST MECHANICAL RESIDENTIAL
HVAC HVAC - 1 A/C, 1 AHU, 2 TON $3240.00
FEES
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 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 6/18/2020
PERMIT NUMBER
ACRS20-0169
ISSUED: 6/18/2020
EXPIRES: 12/15/2020
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $99.00
2 of 2Issued Date: 6/18/2020
PERMIT NUMBER
ACRS20-0169
ISSUED: 6/18/2020
EXPIRES: 12/15/2020
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS20-0169 Address: 951 HIBISCUS ST APN: 170948 0450 $99.00
MECHANICAL $95.00
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
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: R12130 $99.00
Printed: Thursday, June 18, 2020 3:19 PM
Date Paid: Thursday, June 18, 2020
Paid By: BROWARD FACTORY SERVICE BFS
Pay Method: CHECK 65194
1 of 1
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12130
Mechanical Permit Application
City of Atlantic Beach Buildi~g Department
800 Seminole Rd,Atlantic Beach,FL 32233
Phone:(904)247-5826 Email:Building-Dept@coab.us PERMIT #:_
JOB ADDRESS:PROJECT VALUE $2]~iJ2
o NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI #(REQUIRED)_
I:lI Air Handling Equipment Only [3 Condenser Only [j Air Handling Unit &Condenser
Air Conditioning:Unit Quantity Tons per Unit
Heat:Unit Quantity BTUs per Unit Seer Rating (REQUIRED)----Duct Systems;Total CFM
[Z]REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
D Air Handling Equipment Only D Condenser Only
Air Conditioning:Unit Quantity 1 Tons per Unit _2_.0 _
Heat:Unit Quantity 1 BTU's Per Unit _22_,8_0_0 _
Duct Systems:Total CFM
ARI #(REQUlRED)_2_01_62_98_35 _
~Air Handling Unit &Condenser
OFIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
Quantity
Quantity
Value
Quantity
Quantity
Quantity
Seer Rating (REQUIRED)_14_.0_0 _
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
o MISCElLANEOUS:
Automobile Lifts
Boilers
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser
Solar Collection Systems
Tanks (gallons)
Wells
",OTHER:H
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.
OFIRE PLACES
Prefabricated Fireplace (Qty}_
Gas Piping Outlets
OAlL OTHER GAS PIPING
Quantity of Outlets
#Vented Wall Furnaces _----,-_
#Water Heaters
Owner Name:~
Mechanical Company:~~~~~~~~~~~~~~~Office Phone:
Co.Address:
BTUs _
BTUs _
Phone Number:
Fax (904)396-6580
Notarized Signature of License Holder
The forego..!.!!ginstrument was acknowledged before me this Lday of ,202L?in the State of Florida,
County or U-tlh'J:L.-..,,/.,v'("'~
Signature of Notary Public Lm.L...£.~:::"!:::Z;~d<::::~=~'__E__~_.,_
~ersona"y Known OR [l Produced Identi
Type of Identification:-------~~.•E........!,....;;,r.;.;.,~....,......_t':~I!Ot.!~I;_,\--
'/9/18