1318 ROSE ST ACRS22-0215 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
HILLMAN WILLIE C 1318 ROSE ST ATLANTIC BEACH FL 32233-2661
COMPANY:ADDRESS:CITY:STATE:ZIP:
Air Source America DBA
Buehler Air Conditioning 207 20th ST N JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171064 0020 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1318 ROSE ST MECHANICAL RESIDENTIAL
HVAC
HVAC - 1 A/C, 1 AHU, 2.5
TON $4778.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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: 6/23/2022
PERMIT NUMBER
ACRS22-0215
ISSUED: 6/23/2022
EXPIRES: 12/20/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $99.00
2 of 2Issued Date: 6/23/2022
PERMIT NUMBER
ACRS22-0215
ISSUED: 6/23/2022
EXPIRES: 12/20/2022
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ACRS22-0215
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ACRS22-0215 Address: 1318 ROSE ST APN: 171064 0020 $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 30000 $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: R19916 $99.00
Printed: Thursday, June 23, 2022 4:39 PM
Date Paid: Thursday, June 23, 2022
Paid By: Air Source America DBA Buehler Air Conditioning
Pay Method: CREDIT CARD 657419326
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R19916