2232 Beachcomber Tr ACRS21-0188 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
MICHELMAN JEFFREY E 2232 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-4566
COMPANY:ADDRESS:CITY:STATE:ZIP:
Donovan AC & Electric 315 6TH AVENUE SOUTH JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169463 0052 OCEANWALK UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2232 BEACHCOMBER TR MECHANICAL RESIDENTIAL
HVAC
Replacement: 5 Tons 56K
BTUs $6100.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 56000 $28.00
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
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 6/9/2021
PERMIT NUMBER
ACRS21-0188
ISSUED: 6/9/2021
EXPIRES: 12/6/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $127.00
2 of 2Issued Date: 6/9/2021
PERMIT NUMBER
ACRS21-0188
ISSUED: 6/9/2021
EXPIRES: 12/6/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $127.00
ACRS21-0188 Address: 2232 BEACHCOMBER TR APN: 169463 0052 $127.00
MECHANICAL $123.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 56000 $28.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R16043 $127.00
Printed: Wednesday, June 9, 2021 9:47 AM
Date Paid: Wednesday, June 09, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 465912580
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16043
Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone:(904)247-5826 Email: Building-Dept@coab.us
GRAY IS REQUIRED.
PERMIT 4:
JOB ADDRESS:2232 Beachcomber Trl PROJECT VALUE $ 6,100
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)_
DAir Handing Equipment Only
Air Conditioning:
Heat
Duct Systems:
O Air Handling Unit & Condenser
Unit Quantity
Unit Quantity
Total CFMA
O Condenser Only
Tons per Unit
BTUs per Unit Seer Rating (REQUIRED)
204837219
REPLACEMENT AIR CONDITIONING& HEATING SYSTEM INSTALLATION ARI# (REQUIRED) 204899193
Air Handling Unit & Condenser
Air Conditioning:
Heat
Duct Systems:
Air Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
D Condenser Only
Tons per Unit S
BTU's Per Unit 56000 Seer Rating (REQUIRED) 145
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
Quantity
Quantity
Value
Quantity
Quantity
QuantityFire Suppression Systems
MISCELLANEOUS:
Automobile Lifts
Boilers
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser
Solar Collection Systems
Tanks (gallons)
Wells
]FIRE PLACES
Prefabricated Fireplace (Qty)
Gas Piping Outlets BTUs
ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces BTUS
Water Heaters
OTHER:
Permit becomes void if work does not commence within a six month perlod or work is suspended or abandoned for six months Ihereby
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: Jeff Midhelman 904-536-6232 Phone Number:
9042413785 Fax Mechanical Company:Donovan Heat and Air
Co. Address:315 6th AveS
Ucense Holder: Willam Donovan I
Office Phone
City:JaxBeach State Azip: 32250
State Certiftication/Registration # CACOS8398
Notarized Signature of License Holder,
The foregoing instrument was acknowledged before me this 8 day of Jung.
County of Dival.
20 21, in the State of Florida,
Signature of Notary Publi AAwL.
RICHARD L TOMPKINS
Commiss ion # GG 119585
Expires July 29, 2021
Bondad Thru Toy Fain Insuranw 800-385-7019
Personally Known ORI ] Produced ldentification
Type of ldentification:
,
Updated 10/9/18
ACRS21-0188