310 6th St ACRS21-0212 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
NELSON JEFFREY W 310 6TH ST ATLANTIC BEACH FL 32233
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:
169855 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
310 6TH ST MECHANICAL RESIDENTIAL
HVAC HVAC: 3 Tons 35200 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 35200 $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: 7/6/2021
PERMIT NUMBER
ACRS21-0212
ISSUED: 7/6/2021
EXPIRES: 1/2/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $107.00
2 of 2Issued Date: 7/6/2021
PERMIT NUMBER
ACRS21-0212
ISSUED: 7/6/2021
EXPIRES: 1/2/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.00
ACRS21-0212 Address: 310 6TH ST APN: 169855 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 35200 $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: R16238 $107.00
Printed: Tuesday, July 6, 2021 9:44 AM
Date Paid: Tuesday, July 06, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 477489731
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16238
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.uUS
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #
JOB ADDRESS: 310 6th St PROJECT VALUE $ 6,100
NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION
D Condenser Only
Tons per Unit
BTUs per Unit.
ARI H (REQUIRED)
Air Handling Unit & Condenser O Air Handling Equipment Only
Unit Quantity
Unit Quantity
Air Conditioning:
Heat: Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR cONDITIONING& HEATING SYSTEM INSTALLATION ARI# (REQUIRED) 9156147
Air Hondling Equipment Only Air Conditioning:
Air Handling Unit & Condenser
Unit Quantity 1
Unit Quantity1
Total CFM
D Condenser Only
Tons per Unit
BTU's Per Unit 35200 Seer Rating (REQUIRED)16
3
Heat:
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
#Water Heaters
BTUs
DOTHER:
Permit becomes 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 corect. 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: Kim Nelson
Mechanical Company: Donovan Heat and Air
Co. Address:315 6th AveS
cense Holder:William Donovan I
Phone Number: 904-866-5100
Office Phone:9042413785 Fax
City: Jax Beach State A_Zip:32250
State Certification/Registration # CACOS8398
Notarlzed Signature of Lcense Holder.
The foregoing instrument was acknowledged before me this 6 day of Julya
County ot Duval
20 21, in the State of Florida,
Signature of Notary Publi
RICHARD L TOMPKINS
Commission # GG 119585
Expires July 29, 2021
A nded Thru Troy Fain Insurance 600 45-7019
Personally Known OR | Produced ldentification
Type of Identification:,
Updoted 10/9/18
ACRS21-0212