487 Royal Palms Dr ACRS21-0262 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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� PERMIT ACRS21-0262
JV ISSUED: 8/17/2021
;;,,; CITY OF ATLANTIC BEACH EXPIRES: 2/13/2022
MUST CALL INSPECTION-PHONE IN'(904) 247-5814 B 4PM 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.
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.
JOB ADDRESS: 1 PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
487 ROYAL PALMS DR MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2 TON $8250.00
HVAC
TYPE OF , REAL ESTATE ZONING: i BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
171484 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: j STATE: ? ZIP:
TANNER &TANNER HEAT JACKSONVILLE
3948 3RD STS#4 S#4 FL 32250
AND AIR BEACH
OWNER: ADDRESS: j CITY: STATE: ZIP:
AMANNA SERVICES LLC 487 ROYAL PALMS DR ATLANTIC BEACH FL 32233-3925
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
11
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
AIR DUCT SYSTEM 455-0000-322-1000 800 $20.00
FURNACES AND HEATING 455-0000-322-1000 240000 $0.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date:8/17/2021 1 of 2
11 t. .' Yel MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
0S 'il t, ACRS21-0262
PERMIT
�� �� / ISSUED: 8/17/2021
,,t„ CITY OF ATLANTIC BEACH EXPIRES: 2/13/2022
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2 00
TOTAL:$95.00
Issued Date:8/17/2021 2 of 2
__ Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
y; 800 Seminole Rd, Atlantic Beach, FL 32233 C' �S i caw
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Ps1 `G071
JOB ADDRESS: 118 7 QOyot a/nt 11—. PROJECT VALUE $ �-/ )".5-7..)
KNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) D-01-1V f IGg(
❑ Air Handling Equipment Only ❑ Condenser Only /;Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit 1(0I
000 Seer Rating (REQUIRED) II
Duct Systems: Total CFM IOC)
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) '8Hg ---
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
(FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
i I FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
nOTHER:
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 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. Lila
/-�r
Owner Name: PUQ.yt 16k/oiler Phone Number: ?Olt
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Mechanical Company:
I) 1;440er' t- T"we(---/' %
`+ ASC/— Office Phone: /Olt" .?Y Y�� Fax
Co. Address: 3?V ' 3"k �+jd 'YN # City: At v;(la fIAut..Statef31- Zip: 3aa-S-r5
License Holder: State Certification/Registration# GIS C_ ISI 777
Notarized Signature of License Holder __,,---
The foresoiinn -• strument wacknowledged before me this/ / da o I 4.1411 , 1 / in the tate of Florida,
County of�_�V \J CSI •
Signature of Notary Public 4M111..
�,:sY?uq',,c: TONI GINDLESPERGER [ ] Personally Known OR [ ] Produced Identification
:'+: I-•z ;,: MY COMMISSION#GG 353178 Type of Identification: (J (___-
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-%/TnA..,;;E; EXPIRES:October 6,2023
""`;oF F°"• Bonded Thru Notary Public Underetters Updated 10/9/18