1721 Beach Ave ACRS20-0313 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
LANE HELEN MURCHISON
TRUST ET AL 3775 ORTEGA BLVD JACKSONVILLE FL 32210-4347
COMPANY:ADDRESS:CITY:STATE:ZIP:
SNYDER HEATING & AIR PO BOX 16826 JACKSONVILLE FL 32245
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169663 0000 NORTH ATLANTIC BCH
UNIT 1
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1721 BEACH AVE MECHANICAL RESIDENTIAL
HVAC DUCT CHANGE OUT $3400.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1 $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
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: 10/23/2020
PERMIT NUMBER
ACRS20-0313
ISSUED: 10/23/2020
EXPIRES: 4/21/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $79.00
2 of 2Issued Date: 10/23/2020
PERMIT NUMBER
ACRS20-0313
ISSUED: 10/23/2020
EXPIRES: 4/21/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $79.00
ACRS20-0313 Address: 1721 BEACH AVE APN: 169663 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1 $20.00
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: R13924 $79.00
Printed: Friday, October 23, 2020 11:25 AM
Date Paid: Friday, October 23, 2020
Paid By: SNYDER HEATING & AIR
Pay Method: CREDIT CARD 388933298
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13924
Mechanical Permit Application **ALL INFORMAT]ON
HIGHLIGHTED IN
GRAY IS REqUIRED.City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email : Fui ld i ne-Dept@ coa b. us PERMIT #:
JOB ADDRESS: . I q"?'I BC^A A\,L
E rurw ArR coNDtloNtNG & HEATTNG sYsrEM lNsrALLATtoN ARr # (REQUIRED)
E Air Handling Equipment Anly Y Condenser Only
Air Conditioning: Unit Quantity Tons per Unit
i
fI'REpTRcEMENT AIR coNDITIoNING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
Heat:
Duct Systems:
Heat:
Duct Systems:
Unit Quantity
-
BTUs Per Unit
Total CFM
Unit Quantity
-
BTU's Per Unit
Total CFM
U Air'Hondling Equipment Only E Condenser Only
AirConditioning:UnitQuantity-TonsperUnit
Inne PREVENTToN
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
f]nne PLAcES
Prefabricated Fireplace (Qty)
Gas Piping Outlets
flnrr orHER GAs PtPtNG
Quantity of Outlets
# Vented Wall Furnace3
# Water Heaters
QuantitY
Quantity
Value
Quantity
QuantitY
Quantity
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)
BTUs
BTUs
EMTSCELLANEOUS:
Automobile Lifts
Boilers
Elevators/Esca lators
Heat Exchanger
Pumps
Refrigerator Con d enser
Solar Collection Systems
Tanks (gallons)
Wells
S nir Handling Unit & Condenser
Seer Rating (REQUIRED)
U Air Handling Unit & Condenser
Seer Rating (REQUIRED)
o
permitbecomesvoidifworkdoesnotcommencewithinasixmonthperiodorworkissuspendedorabandonedforsixmonths. lhereby
certifythatlhavereadthisapplicationandknowthesametobetrueandcorrect. All provisionsof lawsandordinancesgoverningthis
'work will be complied with whether specified or not. ihe permit does not give authority to violate the provisions of any other state or
local law regulation constructi6n or the performance of construction.
H"-l; Lt-,.,LOwner Name:Phone Number: 24q - q ?@
, U4l-QbOO FaxV!t-?-'q
State: fLzip: 3&'{5:
ffi HOTf,YA"FOUST
Conrnhdott*GG981882
Erqirss IIy 21, 2024
8qtd.d $m BdSt tlolt Sdoaa
Mechanical company: S^{J c- b- office Phone
co.Address, P.D- Doi lV6?r<t citv: fa94
License Holder:€A,o;. . rl. rylj ll+.r stration # C-A L'l6l 320?
Notarized Signature of License Holder
The foregoing instrpment was acknowledged before me this I +lI i,t DUt . , 2oab, in the state of Florida,
County o"f i\r^,,..1, ,Signature of Notary Public
ffi Personally.Known OR [ ] Produced ldentification
Type of ldentification:
updoted 1-0/9/18
ACRS20-0313