870 Seminole Rd ACRS21-0018 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
BUKOWSKI CHRISTOPHER
MICHAEL 870 SEMINOLE RD ATLANTIC BEACH FL 32233-5446
COMPANY:ADDRESS:CITY:STATE:ZIP:
DONOVAN HEATING & AIR
CONDITIONING 315 6TH AVENUE SOUTH JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171968 0000 SELVA MARINA UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
870 SEMINOLE RD MECHANICAL RESIDENTIAL
HVAC
MOVED AHU TO ATTIC AND
REPLACED DUCTWORK $7400.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1050 $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: 1/26/2021
PERMIT NUMBER
ACRS21-0018
ISSUED: 1/26/2021
EXPIRES: 7/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $79.00
2 of 2Issued Date: 1/26/2021
PERMIT NUMBER
ACRS21-0018
ISSUED: 1/26/2021
EXPIRES: 7/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $79.00
ACRS21-0018 Address: 870 SEMINOLE RD APN: 171968 0000 $79.00
MECHANICAL $75.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AIR DUCT SYSTEM 455-0000-322-1000 1050 $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: R14708 $79.00
Printed: Tuesday, January 26, 2021 1:51 PM
Date Paid: Tuesday, January 26, 2021
Paid By: DONOVAN HEATING & AIR CONDITIONING
Pay Method: CREDIT CARD 417262628
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14708
ACRS21-0018