2359 Seminole Rd ACRS20-0260 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
JACOBSON SAMUEL S 2359 SEMINOLE RD ATLANTIC BEACH FL 32233-5971
COMPANY:ADDRESS:CITY:STATE:ZIP:
CREEKS AIR
CONDITIONING &
HEATING
51 HUDSON WAY PONTE VEDRA FL 32081
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
168349 0000 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2359 SEMINOLE ROAD MECHANICAL RESIDENTIAL
HVAC HVAC - 1 A/C, 1 AHU, 5 TON $5000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 55500 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 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: 8/26/2020
PERMIT NUMBER
ACRS20-0260
ISSUED: 8/26/2020
EXPIRES: 2/22/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $127.00
2 of 2Issued Date: 8/26/2020
PERMIT NUMBER
ACRS20-0260
ISSUED: 8/26/2020
EXPIRES: 2/22/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $127.00
ACRS20-0260 Address: 2359 SEMINOLE ROAD APN: 168349 0000 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 55500 $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: R12985 $127.00
Printed: Wednesday, August 26, 2020 3:27 PM
Date Paid: Wednesday, August 26, 2020
Paid By: CREEKS AIR CONDITIONING & HEATING
Pay Method: CREDIT CARD 356466699
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12985
ACRS20-0260