698 Beach Ave ACRS21-0069 Replacement, DuctOWNER:ADDRESS:CITY:STATE:ZIP:
PURCELL EMLY BENHAM
REVOCABLE LIVING TRUST 698 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
ENVIRONMENTAL AIR
SERVICES,INC 8110 CYPRESS PLAZA DR STE 106 JACKSONVILLE FL 32256
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170129 0020 DANIEL & HACKETT R/P
BK16
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
698 Beach MECHANICAL RESIDENTIAL
HVAC
Replace 3.5 ton 42k, 1400
CFM Duct $7338.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3.5 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1400 $20.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
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: 3/10/2021
PERMIT NUMBER
ACRS21-0069
ISSUED: 3/10/2021
EXPIRES: 9/6/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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
TOTAL: $127.00
2 of 2Issued Date: 3/10/2021
PERMIT NUMBER
ACRS21-0069
ISSUED: 3/10/2021
EXPIRES: 9/6/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $127.00
ACRS21-0069 Address: 698 Beach APN: 170129 0020 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
AIR DUCT SYSTEM 455-0000-322-1000 1400 $20.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
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: R15151 $127.00
Printed: Wednesday, March 10, 2021 1:06 PM
Date Paid: Wednesday, March 10, 2021
Paid By: ENVIRONMENTAL AIR SERVICES,INC
Pay Method: CREDIT CARD 431834678
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15151
Mechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email: Building-Dept@coab.us
**ALL INFORMATION
HIGHTIGHTED IN
GRAY IS REQUIRED.
PERMIT #:
JOB ADDRESS:
TNSTALLATTON ARt # (REQUIRED)
D Condenser Only A nir Hondling Unit & Condenser
Tons per Unit
Seer Rating (REQUIRED)
d*rr*aEMENT ArR coNDrroNrNG & HEATTNG sysrEM lNsrArLATroN ARt # (REeutRED).-@
D Air Hondling Equipment Only tr Condenser Onty ^ dAi, Handling unit & Condenser
Air conditioning: 'u;il a;;;ini t rons per unit-"'' 9.5rvrlrvlllllF. vllrL Vuslllllv I lvllJ vvl vllll _#-Heat: Unit Quantity .. I BTU's Per Unit 42 ,oOo Seer Rating (REQUIRED) tlr.O
Duct Systems: Total CFM IL{00
! rurw ArR coNDrroNrNG & HEATTNG sysrEM
E nir Handling Equipment Only
Air Conditioning: Unit Quantity _
Heat:
Duct Systems:
Errne PREVENTToN
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
Unit Quantity _ BTUs per Unit
Total CFM
Quantity
Quantity
Value
Quantity
Quantity
Quantity
Requires 3 sets of plans
Requires 3 sets of plans
Requires 3 sets of plans
Requires 3 sets of plans
Requires 3 sets of plans
Requires 3 sets of plans
BTUs
BTUs
A
Irrnr PLAcES
Prefabricated Fireplace (Qty)_
Gas Piping Outlets
Enu orHER GAS PTPTNG
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
EMrscELLANEous:
Automobile Lifts
Boilers
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser
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 applicatlon 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:Phone Number: qOq- brb' -1 0q1
Mechanical Company:p h o n u, t0t2I4:-0030- rr*-2J9:-00-?
co. Address, 8\\D CVQfu4 p\o?q OvM tfr{-. IDU ditv' J0n0Ytonvrtr\e . state:fiL zip'SLLbLt
6
Notorized Signoture of License Holder
I[i l?r,?,?"1g1tutr( -* c k n ow I e 6 ge d b ero re m e t h i s oay ot \.\fttCh , 2o-AJ, in the state of Florida,
certification/Resistration # Cfre,bllZ{ 0q
KRISTINA X WILSON
1:, Notrry Publlc . State of Florida
Commirsion # GG 220199
My Comm. Expircs Jun 13, ?OZ?
tonded through Natlonrl Not.ry A$n.
Signature of Notary Public
ffr"tton.lly Known oR I
typi\of ldentification :
-
I Produced ldentification
Updoted 10/9/18
ffi
License Holder:
ACRS21-0069