351 11th St ACRS21-0021 HVAC ,..----
it MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
'� ACRS21-0021
►. PERMIT
,tl CITY OF ATLANTIC BEACH ISSUED: 2/1/2021
_ EXPIRES: 7/31/2021
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:
351 11TH ST MECHANICAL RESIDENTIAL REMOVE AND REPLACE $3900.00
HVAC EXISTING UNIT
TYPE OF ' REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170107 0100 ATLANTIC BEACH
COMPANY: I ADDRESS: CITY: STATE: ' ZIP:
COOLER BEAR HEAT & AIR JACKSONVILLE
864 18TH ST N FL 32250
LLC BEACH
OWNER: I ADDRESS: r CITY: STATE: ZIP:
HOWELL JOHN C 351 11TH ST ATLANTIC BEACH FL 32233-5531
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 1 $20,00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
I .
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$79.00
Issued Date:2/1/2021 1 of 2
JS;1' '`''I MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
"' ACRS21-0021
, 4 PERMIT
v % ISSUED: 2/1/2021
yoaf,% CITY OF ATLANTIC BEACH EXPIRES: 7/31/2021
Issued Date:2/1/2021 2 of 2
r Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
/' rCity of Atlantic Beach Building Department GRAY IS REQUIRED.
,1
l 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:1 Q-2— (-6)0
JOB ADDRESS: ,3S/ // f2 Si AVariL .e �'j gu33 PROJECT VALUE$ f POD
i NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ 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
❑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 ! ,� ��
is OTHER: edvel , •rs "AZ .«s ... -� Gloms//\ — % / ,x,i15 r e 110`.,-4� ,
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby '7/1
certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this he
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: (7.7...e e7/ Phone Number: 90g- 9vf_22/Z
Mechanical Company: f/(,‘,6--g, ,- Office Phone: $0.$'71-91/4) Fax
Co.Address: t(oq /6'- S#F N City: C d.t- State: ft. zip: 32 zs O
License Holder: grt - o , p!'7 �Sta/t�e Certification/Registration# C 4 C /8/8 7�,
Notarized Signature of License Holder i- j�y� �'
The forego gin tr5tr nt as acknowledged before me this I. .a . Fa ilil ,0 , in the S Florida,
County of v 0 f_
Signature of Notary Public Nifty
`ZwP'PU TONI GINDLESPERGER
;�:••�••��:: [ ] Personally Known OR [ ] Produced Identification
_.: ,A‘ ..: MY COMMISSION#GG 353178
-W•. II If
EXPlRES:October6,2023 Type of Identification:
'''' F;-°.''' °coded Thru Notary Public Underwriters Updated 10/9/18
Revision Request/Correction to Comments **ALL INFORMATION
�f"a'�ri�; HIGHLIGHTED IN
IIIII"' City of Atlantic Beach Building Department GRAY IS REQUIRED.
killy-1 800 Seminole Rd, Atlantic Beach, FL 32233
F;`'~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ,tc',So2/-ace 1
JRevision to Issued Permit OR Corrections to Comments Date: p5'--/_'2'2/
Project Address: 35-l )(am- Si-
Contractor/Contact
VContractor/Contact Name: ►)r -4- Ls th
Contact Phone: gpti- 91-z)--SG 65 Email: tj,,.4 . italf COQ( a 1 ,1 i . ,t,vv‘
Description of Proposed Revision/Corrections:
4 c C ,, r o C7(0.5-c i( 164-a/ ,yes. 1/1-0,41,,c-e-1 4 ,41.7
43l./L1 /34/&4 5 r 47 If(5 neap-441-1S eiveo ca q 42AicrSi—FiLten/ein66,
I ‘3,-04-ark 4 affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name) (DO, 000 BTU S
• • proposed revision/corrections add additional square footage to original submittal?
ligo ❑ Yes (additional s.f.to be added: )
• Will proposed revision/corrections add additional increase in building value to original submittal?
❑No *Yes (additional increase in building value: $0 OwC ) Contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18