281 15th St ACRS21-0192 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
BROWN CLIFFORD P 281 15TH ST ATLANTIC BEACH FL 32233-5725
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:
170381 0000 ATLANTIC BEACH PRKWY
#02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
281 15TH ST MECHANICAL RESIDENTIAL
HVAC HVAC: 3 Tons 35K BTUs $6100.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 35000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 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: 6/16/2021
PERMIT NUMBER
ACRS21-0192
ISSUED: 6/16/2021
EXPIRES: 12/13/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $107.00
2 of 2Issued Date: 6/16/2021
PERMIT NUMBER
ACRS21-0192
ISSUED: 6/16/2021
EXPIRES: 12/13/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS21-0192 Address: 281 15TH ST APN: 170381 0000 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 35000 $24.00
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: R16098 $107.00
Printed: Wednesday, June 16, 2021 9:09 AM
Date Paid: Wednesday, June 16, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 468816228
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16098
ALL INFORMATION Mechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach,FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
HIGHLIGHTED IN
GRAY IS REQUIRED.
1
PERMIT#
JOB ADDRESS:281 15th St PROJECT VALUE $6100
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED).
O Air Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
Air Handling Unit & Condenser O Condenser Only
Tons per Unit
BTUs per Unit,
Air Conditioning:
Heat:Seer Rating (REQUIRED)
Duct Systems:
REPLACEMENT AIR CONDITIONING & HEATING sYSTEM INSTALLATION ARI # (REQUIRED) 205235974
O Air Handling Equipment Only
Air Conditioning:
Heat:
Air Handling Unit & Condenser O Condenser Only
Tons per Unit
BTU's Per Unit_35000 Seer Rating (REQUIRED)_15
3 Unit Quantity
Unit Quantity 1_
Total CFM Duct Systems:
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
Quantity Fire Suppression Systems
FIRE PLACES
Prefabricated Fireplace (Qty)
Gas Piping Outlets
MISCELLANEOUS:
Automobile Lifts
Boilers
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser
Solar Collection Systems
Tanks (gallons)
Wells
BTUs
ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces BTUS
#Water Heaters
OTHER:
Permitbecomes void if work does not commence within a six month period 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: Patricia Brown Phone Nurmber:904-612-8219
Mechanical Company: Donovan Heat and Air
Co. Address:315 6th Ave S_
License Holder: William Donovan I
Office Phone: 9042413785 Fax
City:Jax Beach State:A Zip: 32250
State Certification/Registration # CACO58398
Notorized Signature of License Holder
The foregoing instrument was acknowledged before me this 15 day of _Jung
County of Dval
20 21, in the State of Florida,
Signature of Notary PubliAa K¥wol
MPersonally Known OR [ J Produced ldentification
Type of Identification:.
RICHARD LTOMPKINS
Ommisson GG 19585
Expires July 29, 2021 Updored 10/9/18
R Bonded Thnu Troy Fain Insuranae 800-385-7019
ACRS21-0192