127 Jackson Rd ACRS23-0044 Permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
fs sr, ACRS23-0044
PERMIT
ISSUED: 2/1/2023
CITY OF ATLANTIC BEACH EXPIRES: 7/31/2023
MUST CALL INSPECTION • • • 1 . BY 4 PM FOR NEXT DAY • •
ALL WORK MUST CONFORMTO THE CURRENT • 1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF . . 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: • OF •
MECHANICAL RESIDENTIAL
127 JACKSON RD HVAC 2.5-ton 30K-BTU AHU $4637.00
TYPE OF
• • GROUP:
1HUANG VILLAS
72282 1010
CONDOMINIUM
COMPANY:--- ADDRESS:
Air Source America DBA JACKSONVILLE
207 20th STN FL 32250
Buehler Air Conditioning BEACH
• ADDRESS: STATE ZIP:
1■
BOOTH RACHEL L 127 JACKSON RD ATLANTIC BEACH FL 32233
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 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
Issued Date:2/1/2023 1 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
u
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#- ktS>3
JOB ADDRESS: 127 Jackson Rd Atlantic Beach,FL 32233 PROJECT VALUE$4,637.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only E3 Condenser Only [D 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) 209692286
❑Air Handling Equipment Only ❑Condenser Only EI 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) 15.00
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:Rachel Booth Phone Number: (904)405-7430
Mechanical Company: Buehler Air Conditioning Office Phone: (904)233-8831 Fax(904)485-8788
Co.Address: 207 20th St N City: Jacksonville Beach State: FL Zip: 32250
License Holder: Jason Buehler a Certification/Registration# CAC 1816716
Notarized Signature of License Holder 07Z,—�
The foregoing instrument was acknowle ed before me this I day of �b�, 2023, in the State of Florida,
County of U)
Signature of Notary Pub
a�✓ I No=Knapp
Flonda [ ] Personally Known OR [�roduced Identification
AsType of Identification: OIL,
My44!4,aM1 ExUpdated 10/9/18