363 Atlantic Blvd Unit 13 MCAC21-0010 Duct Work Only ,• 'r'%�� MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
DETAILS PER BUILDING PLANS
MCAC21-0010
�r ISSUED: 4/27/2021
.rt,,i,,;: V PERMIT EXPIRES: 10/24/2021
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:
MECHANICAL COMMERCIAL
363 ATLANTIC BLVD 13 HVAC DETAILS PER BUILDING DUCT WORK ONLY $4750.00
PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169730 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
CUSTOM HEATING AND 1567 TAWNY MARSH COURT ST. AUGUSTINE FL 32092
AIR OF FLORIDA
OWNER:' . ADDRESS: CITY: STATE: ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32635
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
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:4/27/2021 1 of 2
**ALL INFORMATION
Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 VmC.PCZ.( _ ci C
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 3C3 bili. Icy,.,.ri L NI ,,d S„t ikc 13 .4 i y PROJECT VALUE $ L1 2 TO
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
nREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only 0 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 ;i uu 0 la,j Cr S yd-e ,,N(y
1-1 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)
nFIRE PLACES 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
fALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTUs
#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.
Owner Name: 1..a. P e 4--i\--- et,r;` Ci k Phone Number:
Mechanical Company: C v }u,N. IA-ev .-+u 3 ,,,.,r1,1 AA 0 f FIotikffice Phone: -/u'\I ,2 Y t' 12 s Z Fax
Co. Address: 10 )3(1'13 } �.,���. l'i )�I U City: A f-Ian,i_i C /3e4c L State: F I Zip: 3 z 2-3?
License Holder: 3 Act( W Cik i--1,\N:, j'r State -rtification/Registration# C 4 Cl $ l 1.0. 4-?(e
Notarized Signature of License Holder /�/ 7/ i' ,` Ilr",. '/
The foregoipf iristrumvt was acknow�ged before me this,,P3 day of Apr i ( , 2021, in the State of Florid.,
County of L y�i-s t_-) t C
Signature of Notary Publi'•0_ •
,.ZARy•s Ants R.Weetbeny
is °� Notary Public [ 1 Personally Known OR [�oduced Identification
o State of Florida
of a Commit Honda is Type of Identification: ,)e L--tee
s'-.4711";‘"
9 Expires 2/8/2025 Updated 10/9/18