315 5th St ACRS21-0144 Condenser only S' '' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS21-0144
uv ISSUED: 5/4/2021
CITY OF ATLANTIC BEACH
EXPIRES: 10/31/2021
MUST CALL INSPECTION PHONE LINE (904)247-5814 BY 4 PMFOONEXT 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:
315 5TH ST MECHANICAL RESIDENTIAL Condenser Only: 2 tons $3400.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169857 0100 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: j ZIP:
COOLER BEAR HEAT & AIR JACKSONVILLE
864 18TH STN FL 32250
LLC BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
FLYNN JOHN M 315 5TH ST ATLANTIC BEACH FL 32233-5345
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
AC AND REFRIGERATION 455-0000-322-1000 2 $16 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
TOTAL:$75.00
Issued Date:5/4/2021 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
- PERMIT ACRS21-0144
ISSUED: 5/4/2021
CITY OF ATLANTIC BEACH EXPIRES: 10/31/2021
Issued Date:5/4/2021 2 of 2
Mechanical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: J/5 ,5L3 3 • PROJECT VALUE $ 3 4/ad , oa
I I NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
vi REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 1--057L9 yv
❑ Air Handling Equipment Only 4l Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit o?
Heat: Unit Quantity , BTU's Per Unit Seer Rating (REQUIRED) /S•S
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 I I 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
Li 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: 75- , Opel,/ Phone Number: 90v. 55 OO2
Mechanical Company: ‘06/07,‘06/07, f /� /� � Office Phone:/5'0'.'72.9-/g' Fax
Co. Address: eVyfO� � City: � ' L - State:a- Zip: .37es-a
License Holder: AP `.f,' .4 State Certi ' ation/Registration# Cif C /9/f 7.39
Notarized Signature of License Holder I
The foregoing instrument was acknowledged before me this 1 day of /TN ,202.1, in the St to of Florida,
County of b 1/V/1- I,— A' nA
Signature of Notary Publicv ! ✓✓
CHRISTIAN GILES [ ] Personally Known OR [1oduced Identification
* MY COMMISSION#HH 117153
a
���o; EXPIR6S:April 13,2025 Type of Identification: p�
f°'.f:°". Bonded Thru Notary Public Underwriters Updated 10/9/18