830 Sailfish Dr ACRS21-0119 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS21-0119
. PERMIT
---19a19%- EXPIRES:
OF ATLANTIC BEACH ISSUED:
u _
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:
830 SAILFISH DR MECHANICAL RESIDENTIAL HVAC - 1 A/C, lAHU, 2.5 $8500.00
HVAC TON
TYPE OF REAL ESTATEZONING: i BUILDING USE
CONSTRUCTION: NUMBER: { GROUP: SUBDIVISION:
171157 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
SIMPLY AIR HEATING & AIR 4104 LENOX AVENUE, #3 JACKSONVILLE FL 32254
CONDITIONIN INC
OWN �` ADDRESS: CITY: STATE: ZIP:
THOMPSON ERROL N 830 SAILFISH DR ATLANTIC BEACH FL 32233-4217
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: 1 of 2
�s~ii" MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
.J �; PERMIT
ACRS21-0119
ISSUED:
�;,.`Ji3 ,� CITY OF ATLANTIC BEACH EXPIRES:
i
TOTAL:$99.00
Issued Date: 2 of 2
i
:vMechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Atlantic Beach, FL 32233 Rd, ��,els z 1 _0( �
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 830 SAi(i"S/ vi PROJECT VALUE$ -r5'0 )
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only Ilir Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit 2.5- 1
Heat: Unit Quantity BTUs per Unit 31) �' 0 Seer Rating (REQUIRED) l9
Duct Systems: Total CFM I,t0 0
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only U Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
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 MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
l BALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
If Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
I 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: n-c 1/) Phone Number: ?ai..S 17.7c)ri'
Mechanical Company: ,I,,,,101 t-( �l YL Office Phone: 'O-/- 76/1"--7(1.e Fax
Co. Address: ,£i frill A 1\0 City: ,JtICIC.Sa-✓tu,02- State: Zip:
License Holder: ./ V _ State Certifi .tion/Registration# ( fs/4' d
Notarized Signature of License Holder N f it ' e q c /4"/ e. 36 <!
The foregoitrument was acknowledged before me this • if �it. 4 , 202 in the State of Florida,
County of 0J0,- TIA
Signature of Notary Public c •'-'‘
1S
J1;i TONI GINDLESPERGER [ ] Personally Known OR [ ] Produced Identification
:.';: ,e: `; t. MYCOMMISSION#GG 353178 Type of Identification: (._-.
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��:o: EXPIRES:October 6,2023 Updated 10/9/18
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f'...i;?:,'' Bonded Thru Notary Public Underwriters