176 16th St ACRS21-0201 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
MARTIN GREGORY G 7651 GATE PKWY #210 JACKSONVILLE FL 32256
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:
171880 0000 MANDALAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
176 16TH ST MECHANICAL RESIDENTIAL
HVAC HVAC: 3 Tons 35K BTUs $6200.00
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
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: 6/28/2021
PERMIT NUMBER
ACRS21-0201
ISSUED: 6/28/2021
EXPIRES: 12/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $107.00
2 of 2Issued Date: 6/28/2021
PERMIT NUMBER
ACRS21-0201
ISSUED: 6/28/2021
EXPIRES: 12/25/2021
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS21-0201 Address: 176 16TH ST APN: 171880 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: R16188 $107.00
Printed: Monday, June 28, 2021 11:27 AM
Date Paid: Monday, June 28, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 473860329
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16188
ALL INFORMATION Mechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
HIGHLIGHTED IN
GRAY IS REQUIRED.
Phone:(904)247-5826 Email:Building Dept@coabus PERMIT
JOB ADDRESS:176 16th St PROJECT VALUE $ 6,200
NEW AIR cONDITIONING&HEATING SYSTEM INSTALLATION ARI # (REQUIRED).
O Air Handling Unit & Condenser D Air Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
D Condenser Only
Tons per Unit
BTUs per Unit
Air Conditioning:
Heat:Seer Rating (REQUIRED)_
Duct Systems:
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) 205255974
o Condenser Only
Tons per Unit
BTU's Per Unit_35000
Air Handling Equipment Only
Unit Quantity
Unit Quantity1
Air Handling Unit & Condenser
Air Conditioning: 3
Heat Seer Rating (REQUIRED) 15
Duct Systems:Total CFMA
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
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
au 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 period or work is suspended or abandoned for six months I hereay
certity that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing ths
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:Mary Orr Phone Number: 704609-51388
Mechanical Company:Donovan Heat and Air
Co. Address:315 6th AveS
License Holder: William Donovan I
Office Phone:9042413785 Fax
City:Jax Beach State Zip: 32250
State Certitication/Registration CACOS83988
Notorized Signature of icense Holder
The foregoing instrument was acknowledged before me this 28 day of Jung 20 21L, in the State of Florida,
County of Duval
Signature of Notary Publia
RICHARD L. TOMPKINS
Commission# GG 119565
Expires July 29, 2021
Bonded Thu Îny Fan lr:sura b 7019
Personally Known ORI | Produced ldentification
Type of ldentification
Updated 10/9/18
ACRS21-0201