728 Selva Lakes Cir ACRS21-0063 Replacement �;' ' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r ' 1; ACRS21-0063
Jin 5� PERMIT ISSUED: 3/8/2021
x ,,;j , CITY OF ATLANTIC BEACH EXPIRES: 9/4/2021
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:
728 SELVA LAKES CIR MECHANICAL RESIDENTIAL Replace 3-ton 36K $4995.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE
CONSTRUCTION: NUMBER: GROUP: SUBDIVISION:
172027 5846 SELVA LAKES UNIT 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT & AIR JACKSONVILLE
864 18TH ST N FL 32250
LLC BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
SANCHEZ ERICA SCHUSTER 728 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4368
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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.
< a 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
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
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
Issued Date:3/8/2021 1 of 2
.%'i ' f', MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
= - ' ACRS21-0063
i
-.6..„,,,,F,? PERMIT ISSUED: 3/8/2021
CITY OF ATLANTIC BEACH
`CrJ;i >r EXPIRES: 9/4/2021
r � � TOTAL:$107.00
Issued Date: 3/8/2021 2 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
oPhone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: AC5 Off'
JOB ADDRESS: -1 zg Se_lua lS Cr- PROJECT VALUE $ /q45'
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
ktREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 9 ' Z369
❑ Air Handling Equipment Only ❑ Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity / Tons per Unit 3
Heat: Unit Quantity r' BTU's Per Unit 3ep000 Seer Rating (REQUIRED) /`/.S
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)
( AFIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
It 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: �iie.. Sci.'54' Phone Number: '3oq ' SV' I'm'
Mechanical Company: 46,114 r Office Phone: 9oN•374-Tsp9 Fax
Co. Address: S '1 kr-1st.N City: State: Zip:37
License Holder: ov` ketch? State Certification/Registration # C 18/873`}
Notarized Signature of License Holder
The foregoir1 ins rum- t w:s acknowledged before me this Com.y • � t - 20 a,(n the State of Florida,
County of
Signature of Notary Public A 4� •
;ik i ;,, TONI GINDLESPERGER
'c*: MY COMMISSION#GG 353178Personally Known OR [ ] Produced Identification
EXPIRES:October 6,2023
8ondedlhruNotary Public Underwriters Type of Identification:
Updated 10/9/18