515 SELVA LAKES CIR ACRS23-0311 rty''' � MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
t PERMIT ACRS23-0311
" ISSUED: 8/18/2023
--%-.0.- /c"
31 CITY OF ATLANTIC BEACH EXPIRES: 2/14/2024
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:
515 SELVA LAKES CIR MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 2.5 $4055.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5046 SELVA LAKES
COMPANY: ADDRESS: CITY: ' STATE: ZIP:
Air Source America DBA JACKSONVILLE
207 20th ST N FL 32250
Buehler Air Conditioning BEACH
OWNER: ADDRESS: CITY: ' STATE: ZIP:
HOPE REBEKAH GLEASON 515 SELVA LAKES CIR 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 CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
11
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
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:8/18/2023 1 of 2
::'S'y''Jr,' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
�Ssi
PERMIT ACRS23-0311
'' ISSUED: 8/18/2023
4o „ CITY OF ATLANTIC BEACH EXPIRES: 2/14/2024
TOTAL:$99.00
Issued Date:8/18/2023 2 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.us PERMIT#: P\�SZ.3-O3t
JOB ADDRESS: 515 SELVA LAKES CIR PROJECT VALUE $4,055,00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
El Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
IIREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 210448749
0 Air Handling Equipment Only Cl Condenser Only El 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)
nFIRE PLACES 7MISCELLANEOUS:
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
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:James Hope Phone Number: (904)563-5994
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 (O4-6/' ( .
The foregoingInstrument was acknowledged before me this q day of 1147-04- , 212-3 in the State of Florida,
County of /`uc;
Signature of Notary Publk~-, j/14-(�f4,tr •
&ersonally Known OR [ Produced Identificaton
�r v Notary Public State of Florida
Ashley M Knapp Type of Identification: 44 a.ity f'L�z _
y My Commission HH 044444 �f Updated 10/9/18
4 or rs° Expires 09/20/2024