2013 Mealy St ACRS21-0294 HVAC rS MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
dic.
` _ \ ACRS21-0294
� PERMIT
_) ISSUED: 9/16/2021
\ ��,,, CITY OF ATLANTIC BEACH EXPIRES: 3/15/2022
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.
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2013 MEALY ST MECHANICAL RESIDENTIAL HVAC: 2 Tons 24K BTUs
HVAC $4500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172353 0000 LEWIS S/D
COMPANY: ADDRESS: CITY: STATE: ZIP:
COOLER BEAR HEAT & AIR JACKSONVILLE
864 18TH STN FL 32250
LLC BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
JOHNSON LOLA MAE
ESTATE 2013 MEALY ST ATLANTIC BEACH FL 32233-6910
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 2400 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:9/16/2021 1 of 2
�i''''' , MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
A '1;) PERMIT
ACRS21-0294
ISSUED: 9/16/2021
. CITY OF ATLANTIC BEACH EXPIRES: 3/15/2022
STATE DCA SURCHARGE I 455-0000-208-0600 0 $2.00
TOTAL:$99.00
Issued Date:9/16/2021 2 of 2
Mechanical Permit Application **ALL INFORMATION
Srs
.� City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 HIGHLIGHTED IN
.61 y Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 020/3 /nSA PROJECT VALUE $ 51,500
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
[REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) .2/4 yD yb/
❑ Air Handling Equipment Only ❑ Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity / Tons per Unit .2
Heat: Unit Quantity / BTU's Per Unit ..21-/BUO Seer Rating (REQUIRED) /y d
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)
nFIRE 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
If Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
[ 'OTHER:
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. !�
Owner Name: �(�ja,., Phone Number: a 4 0"" 7 552
Mechanical Company: 4047 xe;1.-1440/ ,j/` Office Phone: 372-9319 _ Fax �'
Co. Address: 6o V 4e9--°-/'$( 'City: k. State: Zip: ,3L%Cs5►a a
License Holder: S " v. C - :fir State Certification ! .' ration# r4-G_ l8le")..9f
Notarized Signature of License Holder i-. ... ,
...1 ..4101.<
The foregoing instrument was acknowledged be . his I/D •ay of S • , 20 'ZI, in t e State of Florida,
County of 0 V 1/41.--
Signature of Notary Public C �'- 0't .�[/t/l
CHRISTIAN GILES
:7.g., [ ] Personally Known OR [�]Produced Identification
,r 0 :,: MY COMMISSION#HH 117153
:'r—a'.= EXPIR6S:April 13,2025 Type of Identification: FG P. L
:FOR r...• Bonded T1xu Notary Pubic Underetters Updated 10/9/18