190 16th St ACRS21-0243 HVACOWNER:ADDRESS:CITY:STATE:ZIP:
BOLE KATHERINE E 190 16TH 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:
171881 0000 MANDALAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
190 16TH ST MECHANICAL RESIDENTIAL
HVAC HVAC: 2.5 Tons 27K BTUs $6050.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 27000 $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: 7/27/2021
PERMIT NUMBER
ACRS21-0243
ISSUED: 7/27/2021
EXPIRES: 1/23/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $99.00
2 of 2Issued Date: 7/27/2021
PERMIT NUMBER
ACRS21-0243
ISSUED: 7/27/2021
EXPIRES: 1/23/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS21-0243 Address: 190 16TH ST APN: 171881 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 27000 $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: R16442 $99.00
Printed: Tuesday, July 27, 2021 8:47 AM
Date Paid: Tuesday, July 27, 2021
Paid By: Donovan AC & Electric
Pay Method: CREDIT CARD 487728770
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16442
ALL INFORMATION Mechanical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coabus
GRAY IS REQUIRED.
PERMIT #:
JOB ADDRESS: 290 16th St PROJECT VALUE $ 6050
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI# (REQUIRED)
Air Handling Unit & Condenser DAir Handling Equipment Only
Unit Quantity
Unit Quantity
Total CFM
a Condenser Only
Tons per Unit
BTUs per Unit,
Air Conditioning:
Heat: Seer Rating (REQUIRED)_
Duct Systems:
ZREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARi# (REQUIRED) 20484041S
O Condenser Only
Tons per Unit
BTU's Per Unit 27000
Air Handling Unit & Condenser D Air Handling Equipment Only
Air Conditioning: 2.5 Unit Quantity
Unit Quantity
Total CFM
Heat: Seer Rating (REQUIRED) 14
Duct Systems:
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
(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
Commercial Hoods
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
ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces BTUS
#Water Heaters
COTHER:
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 thatI 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:Katherine Bole Phone Number: 904-200-0086
Mechanical Company: Donovan Heat and Air
Co. Address:315 6th Ave S
Office Phone:9042413785 Fax
City: Jax Beach State _Zip:32250
License Holder: William Donovan II
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this 2 day of July
State Certification/Registration # CACOS8398
20 21, in the State of Florida,
County of Duval Signature of Notary Pubi al KI
M Personally Known OR IU Produced ldentification
Type of ldentification:,
RICHARD L TOMPKINS
Commission# GG 119585
Expires July 29, 2021
Bonded Thru Troy Fain Insurance 800-385-7019
Updoted 10/9/18
190
ACRS21-0243