335 Country Club Ln ACRS21-0091 HVAC, DuctOWNER:ADDRESS:CITY:STATE:ZIP:
PROVIDENCE
CONSTRUCTION COMPANY ROBERT NELSON JACKSONVILLE
BEACH FL 32250
COMPANY:ADDRESS:CITY:STATE:ZIP:
AIR FLOW DESIGNS INC PO BOX 180308 CASSELBERRY FL 32718
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171961 0000 SELVA MARINA UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
335 COUNTRY CLUB LN MECHANICAL RESIDENTIAL
HVAC
5-ton 60K-BTU AHU & 2K-
CFM duct system $7500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
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: 3/30/2021
PERMIT NUMBER
ACRS21-0091
ISSUED: 3/30/2021
EXPIRES: 9/26/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $147.15
2 of 2Issued Date: 3/30/2021
PERMIT NUMBER
ACRS21-0091
ISSUED: 3/30/2021
EXPIRES: 9/26/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $147.15
ACRS21-0091 Address: 335 COUNTRY CLUB LN APN: 171961 0000 $147.15
MECHANICAL $143.00
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 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
STATE SURCHARGES $4.15
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R15348 $147.15
Printed: Tuesday, March 30, 2021 2:50 PM
Date Paid: Tuesday, March 30, 2021
Paid By: AIR FLOW DESIGNS INC
Pay Method: CREDIT CARD 439337809
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15348