63 Saratoga Cir ACRS22-0390 Permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS22-0390
PERMIT ISSUED: 11/23/2022
v' CITY OF ATLANTIC BEACH EXPIRES: 5/22/2023
INSPECTIONMUST CALL • r , FOR •
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF
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: r • OF • •
63 S SARATOGA CIR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3 TON $3776.00
HVAC
TYPE OF SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH VILLA p
1717810000 02
COMPANY: ADDRESS:
Air Source America DBA JACKSONVILLE
207 20th STN BEACH FL 32250
Buehler Air Conditioning
• ADDRESS:
ANDERSON ROLAND 63 SARATOGA CIRS ATLANTIC BEACH FL 32233-3339
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT Ih
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.
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 4550000-3221000 1 0 $55.00
STATE DBPR SURCHARGE 455-MM 208-0700 0 $2.W
Issued Date:11/23/2022 1 of 2
"ALL INFORMATION
Mechanical Permit Ap Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
' 800 Seminole Rd, Atlantic Beach, FL 32233
'•"" Phone: (904) 247-5826 Email: Building-DeptCaDcoab.us PERMITa: 1Cf2S2Z-(�39d
JOB ADDRESS: 63 Saratoga Or S. Atlantic Beach,FL 37233 PROJECT VALUE$3•774Loo
F-1 NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only O Condenser Only El Air Handling Unit&Condenser
Air Conditioning: Unit Quantity 3 Tons per Unit 00
Heat: Unit Quantity 0 BTUs per Unit 3 Seer Rating(REQUIRED)
Duct Systems: Total CFM 3
PREPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 3 anaa
I]Air Handling Equipment Only E3 Condenser Only m Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 30
Heat: Unit Quantity 1 BTU's Per Unit 33.333 Seer Rating(REQUIRED) 13.06
Duct Systems: Total CFM 3
[]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 ❑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
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-Roland Anderson Phone Number: (723)334-6162
Mgchanical Company: auahWr rca dxxnl.g Office Phone: (964)2a 8661 Fax( )4 "7m
C.%Clddress: 20721MstN City: Ia&wmAb l3mrli State: R Zip: azzw
License Holder: Jason Buehler ate Certification/Registration If CAC 1316716
Notarized signature oJUcense Holder
The foregoin• ' strument was acknow ged before me this�da of O/QmfX�20'; 'in the State of Florida,
County of
Signature of Notary Publ � ��-a
=E14-Waa-1-d-:7
[ Personally Known OR[ I Produced Identification �-
Type of Identification: �L2.Q-U� updatedla/9/18