1814 Tierra Verde ACRS20-0345 Duct S'`'''` MECHANICAL RESIDENTIAL HVAC(f---'' PERMIT NUMBER
PERMIT ACRS20-0345
k) jiISSUED:
CITY OF ATLANTIC BEACH EXPIRES:
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: I DESCRIPTION: VALUE OF WORK:
1814 TIERRA VERDE DR MECHANICAL RESIDENTIAL DUCT WORK ONLY $5800.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: I GROUP:
169542 5050 SELVA TIERRA
COMPANY: ADDRESS: CITY: STATE: ZIP:
FREEDOM HEATING AND 3096 MYSTIC FALLS DR JACKSONVILLE FL 3224
AIR CONDITIONING
OWNER: j ADDRESS: CITY: STATE: ZIP:
MORRISON GUY 1814 TIERRA VERDE DR ATLANTIC BEACH FL 32233-4527
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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
AIR DUCT SYSTEM 455-0000-322-1000 1500 $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: 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ti'4:A1k
Imo__ s� PERMIT ACRS20-0345
-' 11
ISSUED:
,� CITY OF ATLANTIC BEACH EXPIRES:
Issued Date: 2 of 2
� a,ir., Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:ACS 1Th,
) —Oj`1-.5
JOB ADDRESS: 1814 TIERRA VERDE DR. PROJECT VALUE $5,800.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 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 1,500
(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 IT 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
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:GUY MORRISON Phone Number: (904)704-1370
Mechanical Company: FREEDOM HTG AND AIR INC. Office Phone: (904)571-4812 Fax
Co. Address: 3096 MYSTIC FALLS DR City: JACKSONVILLE State: FL Zip: 32224
License Holder: BART PAYNE State Certification/Registration# CAC057057
Notarized Signature of License Holder Ar - !',r'I AO k/. /irk
. /
The forego rum-nt w:s acknowledged before me this day • A... �► th State of Florida,
County of . it
Signature of Notary Public . , A- --
?ot*p'!?q TONI GINDLESPERGER
zA •';,: MY COMMISSION#GG 353178 [ ] Personally Known OR [ ] Produced Identification
�. 'o,,' , LT l._-
;;r.���p EXPIRES:October 6,2023 Type of Identification:
:FOF F1`Q' Bonded Thru Notary Public Underwriters Updated 10/9/18
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