1285 Main St ACRS21-0104 HVAC ''j' ''`'% MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
J`'dri,_;, �', ACRS21-0104
���,P_ -_� �� PERMIT ISSUED: 4/2/2021°;:,,; CITY OF ATLANTIC BEACH EXPIRES: 9/29/2021
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:
1285 MAIN ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $4650.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171053 0040 ATLANTIC BEACH SEC H
COMPANY: I ADDRESS: CITY: STATE: ZIP:
Southern Point Heating 12511 Sun Palm Dr Jacksonville FL 32225
and Air Inc.
OWNER: I ADDRESS: I CITY: I STATE: ZIP:
NOTTINGHAM MEGAN 1285 MAIN ST ATLANTIC BEACH FL 32233
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 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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:4/2/2021 1 of 2
`"'' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
0% ACRS21-0104
iit
PERMIT
uv ISSUED: 4/2/2021
�\�;,,,; CITY OF ATLANTIC BEACH EXPIRES: 9/29/2021
TOTAL:$99.00
Issued Date:4/2/2021 2 of 2
sLk Mechanical Permit Application **ALL
rs''� �='\ HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
`j FL 32233
800 Seminole 47 Atlantic Beach, /\ , sz ( •-
Phone: INFORMATION
�/�
''jt'`'' (904)c247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 12 J /Viazr v1 54- PROJECT VALUE$ GSQ-d°
n NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(R QUIRED) 96 7 g--5 g'2--
❑ Air Handling Equipment Only ❑ Condenser On ~_r, VAir Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit /ev,7 5
Heat: Unit Quantity BTUs per Unit I. Seer Rating (REQUIRED) /y. e"
Duct Systems: Total CFM (l
0 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) /q G 2 Cr 2` 49"2--
0
2--
❑ Air Handling Equipment Only ❑ Condenser On c. T ,,„❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit -?a K/J'[ /Seer Rating (REQUIRED)/9 See r
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)
(FIRE PLACES n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
IOTHER:
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: - !"j" — K.) l A4IrCt � Phone Number: 90 (
,g22./a .__3 Gl
Mechanical Company: c,h ! 1U,,, g.,,aii Office Phone: Fax
Co.Address: 12 S/ / Sc.., B////�rrt N/`, City: Jc4.AA . State: FL, Zip: 322 2S
License Holder: 5e�,.,,.., 0614- State Certification/Registration# 4G1 /r�'32l
Notarized Signature of License Holder � Cr
The foregoing instrument s acknowledged before me this l dfay f - 04; , 242j, in the State of Florida,
County of . ? (..-_)\/n r' i
Signature of Notary Publ-iiT �� t C A, (,--__
;:.1ii:;'�-., TONIGUNDLESPERGER [ ] Personally Known OR [ ] Produced Identification
' MY COMMISSION#GG 353178 Type of Identification: Li--, L
'4a.:- .o' EXPIRES:October 6,2023
--�,•....•P, Updated 10/9/18
�,�F F,4; Bonded Thu Notary Public Underwriters