1768 Beach Ave ACRS21-0013 private provider HVAC permitOWNER:ADDRESS:CITY:STATE:ZIP:
OLEARY DEREK 1758 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
A COMFORTABLE
ENVIRONMENT, INC 2071 EMERSON STREET #3 JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169602 0000 OCEAN GROVE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1768 BEACH AVE MECHANICAL RESIDENTIAL
HVAC
PRIVATE PROVIDER HVAC - 3
A/C, 3 AHU, 2 -1.5 TON &
ONE 2 TON
$15000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 26000 $148.00
FURNACES AND HEATING 455-0000-322-1000 52000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
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: 1/26/2021
PERMIT NUMBER
ACRS21-0013
ISSUED: 1/26/2021
EXPIRES: 7/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.07
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.71
TOTAL: $277.78
2 of 2Issued Date: 1/26/2021
PERMIT NUMBER
ACRS21-0013
ISSUED: 1/26/2021
EXPIRES: 7/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r- Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
ACRS Z( -0DI800SeminoleRd, Atlantic Beach, FL 32233 3
Y,.,,, ,,,Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: PfRr i2 v 67' (
JOB ADDRESS: 176 e Q>?q c \ Iv 0 r' . PROJECT VALUES l )G 6 be 6°
11-NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 2.0 X13 73 5 51
0 Air Handling Equipment Only 1- ik 0 Condenser Only i'Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 2 1,33 Tons per Unit 2-1-S I-z.O
Heat: Unit Quantity BTUs per Unit27 / Z,o64 Seer Rating (REQUIRED)
C
Duct Systems:Total CFM Z 6('
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 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
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 fl 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
It 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: O L-e e i (Z2 5;a-,,ce, Phone Number: 901--
Mechanical Company: A C o r- rate T a b1 f tJ ii;(a,..)AA-e,.: , Office Phone: 90`/-ziJ-53 5 i, Fax
Co. Address: 2,07/ F N,-Cf t xr-' 3t,. #3 City: 5 cc K 5;,,VY/l e State: le( Zip: 3L Z07
License Holder: 5MI-+1/ SflNgfl^,N Rle ntic)Er State Certification/Registration# 4-AGlII J77/
Notarized Signature of License Holder 9,--,,,,,T4,?,—_ )4,,,:_
The foregoin: instrument was acknowledged before me this \E'day o(_.- ti..),, 20 c\, in the State of Florida,
Count • 1
REBECCA ANN I'. Signature of Notary •ubli Milo_ 1 ' e..W • L..
14''..,, MY COMMISSION$GG 078215
c ` EXPIRES:March B,2021i •ersonally Known O' [ 1 Produced IdentificationJ'•° °!` Boded llu Notary
ndegviters ,
T.• O •entl kation:
Updated 10/9/18
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $277.78
ACRS21-0013 Address: 1768 BEACH AVE APN: 169602 0000 $277.78
MECHANICAL $271.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 26000 $148.00
FURNACES AND HEATING 455-0000-322-1000 52000 $28.00
STATE SURCHARGES $6.78
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.07
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.71
TOTAL FEES PAID BY RECEIPT: R14710 $277.78
Printed: Tuesday, January 26, 2021 2:59 PM
Date Paid: Tuesday, January 26, 2021
Paid By: Kemm Smith
Pay Method: CREDIT CARD 417163911
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14710