363 Atlantic Blvd 10 MCAC21-0013 HVAC on roof, duct r11-`''`�i MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
0 MCAC21-0013
;s• DETAILS PER BUILDING PLANS
ISSUED: 5/17/2021
'"4u:ir>'? PERMIT EXPIRES: 11/13/2021
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 HVAC on Roof, Duct Work: 5
363 ATLANTIC BLVD 10 HVAC DETAILS PER BUILDING $7500.00
Tons 60K BTUs 2000 CFM
PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169730 0000 • ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA COMFORT, INC. 5913 ST AUGUSTINE RD JACKSONVILLE FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32606
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
AIR DUCT SYSTEM 455-0000-322-1000 2000 $20.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.15
Issued Date:5/17/2021 1 of 2
t ik,'
Mechanical Permit Application **ALL INFORMATION
' A
HIGHLIGHTED IN
�� City of Atlantic Beach Building Department GRAY IS REQUIRED.
...,� ~ 800 Seminole Rd, Atlantic Beach, FL 32233
mu) C2 I — 00 (
�"'`' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: PPR)21- O0O1
JOB ADDRESS:-X7RH- k.c� ��1`C LS l vd . S4� 'el
�v
J PROJECT VALUE $ - ISO 0
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 1 C1(v t\ a. 3
❑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
OREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only : ❑ Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit S
Heat: Unit Quantity I BTU's Per Unit 10 i4 L--) Seer Rating (REQUIRED) IC(
Duct Systems: Total CFM a o(10
EFIRE 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
❑ALL 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: A) S kor` 1-1--- ((. 1 Phone Number: 1%(:=)" t6 DOC.
Mechanical Company: rl U r .de-. LL JA ` r'T MA C_ . Office Phone: ci 0 4 37647Fax
Co. Address: ei.ji:S 13-11 S+'. A c3 uS4i,�fRvi
City: c f Sc VW (L State: ••-c Zip: a aG
License Holder: Vs A) s--, *b., f d c,�/ v J State Certification/Registration#CA C I% 9 S 7 I
Notarized Signature of License Holder I ,e,,,=' b_ `
The foregoing irp nt was acknowledged before me this /7 day of /} y , 20 21, in the State of Florida,
County of IV�,
"""""'"'"'N -........-...b-Signature of Notary Public / -1411/
�
r '!1 .: CHRISTIAN GILES i
MYCOMMISSION#HH117153 ] Personally Known OR [4oduced Identification
"±-. A EXAMS:April 13,2025
`Ceitte•' Banded Thu Notary PubicunderwrMers Type of Identification: FL Dt-
Updated 10/9/18