1723 E Park Ter ACRS21-0090 HVAC =';''-'')'?"-w,>. MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS21-0090
PERMIT
ISSUED: 3/29/2021
CITY OF ATLANTIC BEACH EXPIRES: 9/25/2021
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:
1723 E PARK TER MECHANICAL RESIDENTIAL HVAC- 2 A/C, 2 AHU, 2 & 4 $30350.00
HVAC TONS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0400 SELVA MARINA UNIT 08
COMPANY: ADDRESS: CITY: I STATE: ' ZIP:
EMERGENCY HEATING 5627-6 VERNA BLVD JACKSONVILLE FL 32205
AND AIR
OWNER: ADDRESS: CITY: STATE: I ZIP:
JOHNSON DEREK 48 CORAL ST ATLANTIC BEACH FL 32233-5825
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.
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 6 $48.00
AIR DUCT SYSTEM 45S-0000-322-1000 2400 $28.00
FURNACES AND HEATING 455-0000-322-1000 72000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.39
Issued Date: 3/29/2021 1 of 2
MECHANICAL PERMIT APPLICATION
'i CITY OF ATLANTIC BEACH t f' I fp k l aC- c
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax(904) 247-5845 p� M
JOB ADDRESS: f a3 vci.o,< T.e.Y rOSC -Q- ECUS i— Z W
PERMIT# \C�.1�-�
- 9
P-b -(ska-8-1
PROJECT VALUE $ c5b ��� ARI# a0- IZ.k 1 lv 2• REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity (D— Tons Per Unit L ( _
Heat: Unit Quantity BTU's Per Unit Seer Rating W
Duct Systems: Total CFM 0 O REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# 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.
Property Owners Name a\f1.Y1 CS 0 Y\ Phone Number
Mechanical Company eYYk.t( PvACU5 kAQ0.4-lv\Q GU 1' Office Phone 31(6S0►21Fax
Co. Address: S-10/)-1 - L0 v(2x4A_p_. (1\•)cL City i.r.ACS04•:110 State Zip 322ar'
License Holder(Print): ► • As • S ;to Certification/Registration#0.04_15611$0'. --
Notarized
UC 15611$0'. --
Notarized Signature of License older 4 ./1/1 -- is ,_ ,
�;pyp TONI GINDLESPERG:178 Before me this ;_ d. 1 • �i► � 2L'
MY COMMISSION#GG
"° EXPIRES:Octobers,2023 Signature of Notary Public .
.i‘ ' ` Public Under miters
'-�o.....• Bonded Thtu Notary ._--