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711 Selva Lakes Cir ACRS23-0179 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: LEVINA LYUBOV BORISOVNA 711 Selva Lakes Cir Atlantic Beach FL 32233 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: 172027 5868 SELVA LAKES UNIT 03 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 711 SELVA LAKES CIR MECHANICAL RESIDENTIAL HVAC 1 AHU - 3.0 Tons & 36K BTU $4636.00 FEES 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 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 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: 5/9/2023 PERMIT NUMBER ACRS23-0179 ISSUED: 5/9/2023 EXPIRES: 11/5/2023 MECHANICAL RESIDENTIAL HVAC PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $107.00 2 of 2Issued Date: 5/9/2023 PERMIT NUMBER ACRS23-0179 ISSUED: 5/9/2023 EXPIRES: 11/5/2023 MECHANICAL RESIDENTIAL HVAC PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Mechanical Permit Application ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 q Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: AC 23 -0(1 l JOB ADDRESS: 711 Selva Lakes Cir.ATLANTIC BEACH,FL 32233 PROJECT VALUE$4,636.00 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED) Duct Systems:Total CFM E1 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 209692796 Air Handling Equipment Only 0 Condenser Only p Air Handling Unit& Condenser Air Conditioning: Unit Quantity 1 Tons per Unit 3.0 Heat: Unit Quantity 1 BTU's Per Unit 36,000 Seer Rating(REQUIRED) 16.00 Duct Systems:Total CFM r7 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) nFIRE 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:Lyubov Levine Phone Number: 9°4- t-IIS 401 c{ 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 State Certification/Registration# CAC 1816716 Notarized Signature of License Holder ' ` The foregoi instrument was acknowledged efore me this day of IThl ,20 -.1 in the State of Florida, County of VT\ J Signature of Notary Public .S ,. / , A i! P` r4 Notary Public Stale or Ronda Personally Known OR [ Produced Ide tification Ashley M Knapp Type of Identification: 111 g 1 Q L4MYCommissionHH0444441‘.: ' 1‘ 00 Exp es 09/20/2024 Updated 10/9/18