360 SEMINOLE RD ACRS23-0074 sIF.t``�`'f MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
s6'
s, ACRS23-0074
75 PERMIT ISSUED: 2/24/2023
,; CITY OF ATLANTIC BEACH EXPIRES: 8/23/2023
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 PERMIT APPLY, PLEASE READ 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:
360 SEMINOLE RD MECHANICAL RESIDENTIAL DUCT SYSTEM ONLY $4880.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170427 0025 SALTAIR SEC 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Air Source America DBA JACKSONVILLE
207 20th ST N FL 32250
Buehler Air Conditioning BEACH
OWNER: ADDRESS: CITY: j STATE: ZIP:
WHITE JUSTIN G 1017 3RD ST NEPTUNE BEACH FL 32266
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.
MP LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1200 $20.00
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
TOTAL:$79.00
Issued Date:2/24/2023 1 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.ii PERMIT#: ;AeRSC 0014
JOB ADDRESS: 360 Seminole Rd.Atlantic Beach, FL 32233 PROJECT VALUE $4,880.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
El Air Handling Equipment Only ❑ Condenser Only DAir Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
flREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only El Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM 1200
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
LIALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
p OTHER: C/O Existing ductwork
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:Justin White Phone Number: (727)254-7083
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 tate Certification/Registration# CAC 1816716
Notarized Signature of License Holder 06kW1 taile,e___----
The foregoing instrument was acknowledged before me this 2 .•-y of I /L44� , 20 z3 in the State of Florida,
County of Mt I
Signature of Notary Pu rlic r'_ , ., , I.i _ia..Iie
�40Y Notary PubhCState ofFtonda [ iersonally Known OR [ ] Produced .entification
Ashley M Knapp Type of Identification: _,( .p Q L-t.//Y� U< .t-. J
v ci Mypre Commission 09120/2 24 044444 UJ Updated ER res 09/20/2024 r u dated 10/9/18