62 17th St ACRS23-0027 Permit JsS'rL"'� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
' ACRS23-0027
PERMIT ISSUED: 1/24/2023
CITY OF ATLANTIC BEACH EXPIRES: 7/23/2023
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
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:
62 17TH ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $6200.00
HVAC TON
TYPE OF
• • GROUP:
169586 0000 OCEAN GROVE UNIT 01
COMPANY: ADDRESS:
Air Source America DBA JACKSONVILLE
207 20th STN FL 32250
Buehler Air Conditioning BEACH
• �, ADDRESS:
BYROD ROBERT W 62 17TH ST ATLANTIC BEACH FL 32233-5810
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.
LIST OF • •
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 45S-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
Issued Date: 1/24/2023 1 of 2
ALL
Mechanical Permit Application **HIGHLI HIGHLIGHTED
ON
i- HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ll\1rr11 2
Phone: (904) 247-5826 Email: Build ing-Dept@coab.us PERMIT#: 1Acl k�Z-S-UOZ—�
JOB ADDRESS: 62 17th Street. Atlantic Beach,FL 32233 PROJECT VALUE $6,200.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only [J 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) 718601
❑Air Handling Equipment Only ❑ Condenser Only p Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 2.5
Heat: Unit Quantity 1 BTU's Per Unit 30,000 Seer Rating (REQUIRED) 14.20
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)
❑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:Robert Byrod Phone Number: (904)249-2981
Mechanical Company: Buehler Air conditioning Office Phone: (904)233-8831 Fax(904)485-9799
Co. Address: 207 20th St N City: Jacksonville Beach State: FL Zip: 32250
License Holder: Jason Buehler 7 Stat Certification/Registration# CAC 1816716
Notarized Signature of License Holder
The foregoing instrument was acknowled before me this23 ay of is tl , 20 Z in the tate of Florida,
County ofj[c�
Signature of Notary Pu is '� �'tiZap
Jr 0- Notary PuW Stale of Honda [ ] Personally Known OR� Produce Identification
Ashley M Knapp T e of Identification:_ C—_
My Commisaton HH 044444 YP
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fj Expires 09/20/2024 Updated 10/9/18