1857 Tierra Verde Dr ACRS19-0190 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
SCHWARTZ CAROLE W
TRUSTEE 1857 TIERRA VERDE DR ATLANTIC BEACH FL 32233-4527
COMPANY:ADDRESS:CITY:STATE:ZIP:
Buehler Air Conditioning 207 20th ST N JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169542 5078 SELVA TIERRA
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1857 TIERRA VERDE DR MECHANICAL RESIDENTIAL
HVAC
HVAC - 1 A/C, 1 AHU, 4
TONS $4910.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $115.00
FURNACES AND HEATING 455-0000-322-1000 48000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
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: 8/10/2023
PERMIT NUMBER
ACRS19-0190
ISSUED: 8/10/2023
EXPIRES: 2/6/2024
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $230.00
2 of 2Issued Date: 8/10/2023
PERMIT NUMBER
ACRS19-0190
ISSUED: 8/10/2023
EXPIRES: 2/6/2024
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845 Re fry _O 1 r) O
JOB ADDRESS: 1857 Tierra Verde Dr. Atlantic Beach, FL 32233 PERMIT#
t`-
PROJECT VALUE$ 4910.00 ARI# 9155636 REQI. FRED
Air Handling Equipment Only _L_Air Handling Unit & Condenser _Cond nser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat Unit QuantityBTU's Per Unit Seer Rating
Duct Systems: Total CFM REQ1 IRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATIO
Air Conditioning: Unit Quantity 1 Tons Per Unit Afton
Heat: Unit Quantity 1 BTU's Per Unit 48.000 Seer Rating 1
Duct Systems: Total CFM 0 REQC RED
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 BTU's
Elevator. scalators
ALL OTHER GAS PIPING Heat ExcH nger
Quantity of Outlets Pumps I
Vented Wall Furnaces Refrigerator Condenser BTU's
Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months.I beach)vai if.,that I have read
this application and krmw the same to be true and comet, All provisions of laws and ordinances governing this work will be complied wnr whether specified or
gill, The pemiil does not give authority to violate the pmvisions army rnhersiatc or local law regulation construction or perfnrmace, 'concruction.
Property Owners Name Carol Swartz Phone Number 9W, 34-4533
Mechanical Company Bt ishlar Air Conditianin0 Office,Phone an4-933-6831 Fax
Co. Address: 907 90th Rtreet N City Jacksonville Bach State Fl Zip 32250
License Holder(Print): Ce icalion/Registration# CAC ISIS716
Notarized Signature of License Holder
Before me this 3 day of June 2019
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