6 Forrestal Cir ACRS20-0261 1-'''`i .''' ''- \ MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
s PERMIT ACRS20-0261
r ISSUED: 8/26/2020
_____]
.;�,,},;. CITY OF ATLANTIC BEACH EXPIRES: 2/22/2021
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:
MECHANICAL RESIDENTIAL
6 FORRESTAL CIR HVAC HVAC - 1 A/C, 1 AHU, 2 TON $4500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171764 0000 4TLANTIC BEACH VILLA #
01
COMPANY: ADDRESS: CITY: STATE: ZIP:
AIR WAVES HEATING AND
COOLING 13230 Maryweather Court JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
BAGGETT DANIEL L 1120 WYTHE CT FREDERICKSBURG VA 22405
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 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 18000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 8/26/2020 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
c„:„..„..„1,...„
ACRS20-0261
s._ PERMIT
�� ISSUED: 8/26/2020
u,i ,� CITY OF ATLANTIC BEACH EXPIRES: 2/22/2021
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.001
TOTAL: $99.00
Issued Date:8/26/2020 2 of 2
Mechanical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
1-` " „/ ` ` City of Atlantic Beach Building Department GRAY IS REQUIRED.
%i 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:i AO.RSZ C)
JOB ADDRESS: „.0 ,i-0 .'c e 51‘.,- c_ N PROJECT VALUE $ 4, 66,c
oZ6 (
PINEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRE)10)
❑ Air Handling Equipment Only a Condenser Onlyit Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit ' -o.,
Heat: Unit Quantity I BTUs per Unit li,too Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only Li Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
I 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
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
I IOTHER:
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: I,q(\, '"---,ac,dc-4- Phone Number: 904 Lm-142,L
Mechanical Company: Pt,r tOt Ale-, t*\ttA.N;) aril Cbb\vi Office Phone: c[bS( -Lqi-(0313 Fax
Co. Address: 11,22,o M;,cv., ,-kiner C:t City: -"Yia.ccAuAkt. State: FC Zip: 27,Z25
License Holder: f Glc,to ,c, e. 'o n State Certification/Registration# e At 1%I to o 3
Notarized Signature of License Holder/4-' c _
��� ' iren the State of Florida,
The foregoi trument s acknowledged before me thi �e+ay of MI- �� 2
County of Mr( JC.L,"
Signat re of Notary Public f4, ^X�
:�';« k"••., TONIGINDLESPERGER Personally Known OR [ ] Produced Identification \�
�"4 _ MY COMMISSION#GG 353178
*, Type of Identification:
�..:Z: EXPIRES:October 6,2023
•'AOF �•` Bonded Thru Notary Public Underwriters Updated 10/9/18