1079 Atlantic Blvd MCAC19-0013 MECHANICAL COMMERCIAL HVAC PERMIT NUMBER `
if MCAC19-0013
DETAILS PER BUILDING PLANS ISSUED: 8/13/2019
PERMIT EXPIRES: 2/9/2020
MUST CALL INSPECTION r • • + BY / PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' !A BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS • PERMIT APPLY, PLEASE • ! 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:
MECHANICAL COMMERCIAL
1079 ATLANTIC BLVD HVAC DETAILS PER BUILDING HVAC - 1 A/C, 1 AHU, 3 TON $4581.00
PLANS
TYPE OF !
i • GROUP:
177416 0000 SECTION LAND
COMPANY: ADDRESS:
Buehler Air Conditioning 207 20th STN JACKSONVILLE FL 32250BEACH
• ADDRESS:
SOLOMON PROPERTIES 14255 BEACH BLVD JACKSONVILLE FL 32250
INC
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date:8/13/2019 1 of 2
MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
fs t MCAC19-0013
DETAILS PER BUILDING PLANS ISSUED: 8/13/2019
PERMIT EXPIRES: 2/9/2020
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$107.00
Issued Date:8/13/2019 2 of 2
sh Register Receipt Receipt Number
y •
City • Atlantic Beach •
DESCRIPTION31
• QTY PAID
PermitTRAK $107.00
MCAC19-0013 Address: 1079 ATLANTIC BLVD APN: 177416 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 36000 $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
TOTALR9831 $11 1 1
Date Paid: Tuesday, August 13, 2019
Paid By: Buehler Air Conditioning
Cashier: CB
Pay Method: CREDIT CARD 2
Printed:Tuesday,August 13,2019 11:48 AM 1 of 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 1079 Atlantic Blvd, Atlantic Beach, FL 32233 PERMIT # f11
PROJECT VALUE S 4;8, C3 ARI # 9661021 REQUIRED
Air handling Equipment Onl\ x Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Ratink
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3ton
Heat: Unit Quantity 1 BTU's Per Unit 36 000 Seer Rating 14
Duct Systems: Total CFM 0 REQUIRED
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)
FIRE PLACES MISCELI,ANEOIJS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators,/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
9 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes soid if work docs not commence within a six month period or work is suspended or abandoned for six months.I hereby certif} that I base read
this application and know the same to be true and correct All pros isions of lass s and ordinances go%erning this work will he complied%%ith whether specified or
not. The permit docs not gis c authoniv to s iolate the pros isions of ans other state or local lass regulation construction or the performance of construction.
Property Owners Name George Solomon Phone Number 904-993-1518
Mechanical Company Buehler Air Conditioning Office Phone 904-233-8831 Fax 904-485-8788
Co. Address: 207 20th Street N City Jacksonville Beach State_EL_Zip 32250_
License Holder (Print): tate �rtilftca�tion/Registration# QAC 1816716
Aotarized Signature of l.ic•ert.tie ffoldei
k. Before me this 26th day of Jul 2019
• KIMT EICHMANN
No
Public State of F Iw ida Signature of Notary Public
Commission N GG 267633
:;ry My Comm.Exp
ues Oct i i,2022
Bonded through National Now,y Assn.
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