388 4th St ACRS23-0429 CI,A'` MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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PERMIT ACRS23-0429
15 ISSUED: 12/11/2023
\,;;„r v CITY OF ATLANTIC BEACH EXPIRES: 6/8/2024
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:
MECHANICAL RESIDENTIAL
388 4TH ST HVAC HVAC - 1 A/C, 1 AHU, 3 TON $3750.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169826 0000 ATLANTIC BEACH
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:
BARNEY MEGAN LEIGH 388 4TH ST 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.
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
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 12/11/2023 1 of 2
S MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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ACRS23-0429
PERMIT ISSUED: 12/11/2023
�. ;;„r CITY OF ATLANTIC BEACH EXPIRES: 6/8/2024
TOTAL:$107.00
Issued Date: 12/11/2023 2 of 2
**ALL INFORMATION
0-,A,1 Mechanical Permit Application HIGHLIGHTED IN
'1 .°t City of Atlantic Beach Building Department GRAY IS REQUIRED.
911 . 800 Seminole Road, Atlantic Beach, FL 32233
j-',.wi'r Phone: (904) 247-5826 Email: Building-Dept@coab.us
PERMIT#:i\CPSz3 GyZ(:')
JOB ADDRESS: 381 1 :Si- /AI gearh 3013133 PROJECT VALUE $ 3 7601 co
n 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
XI REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ..267r7/37:1
❑ Air Handling Equipment Only ❑ Condenser Only $Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit 3*tU
Heat: Unit Quantity I BTU's Per Unit alc70 Seer Rating (REQUIRED) X2,5
Duct Systems: Total CFM
❑FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 1 set of digital plans)
Fire Standpipe Quantity (Requires 1 set of digital plans)
Underground Fire Main Value (Requires 1 set of digital plans)
Fire Hose Cabinets Quantity (Requires 1 set of digital plans)
Commercial Hoods Quantity (Requires 1 set of digital plans)
Fire Suppression Systems Quantity (Requires 1 set of digital plans)
(FIRE PLACES n 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
fOTHER:
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: M3Qf7 Aqin ey ..... ...Number: 6.5a3. 33C/—f
Mechanical Company: 8lneYl!t/2 /fir I.UIYj11fi cninei Office Phone: RC ;A; 1 Fax
Co. Address: ,2U'2 I-� �7 r�ee 1L- ,11/ Cit . 4c. l if b State:
City: - FL Zip: ;�.AA5�
License Holder: Jr 5, J J, ' tate Certif. ation/Registration# (2,46.- / f1,7/
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this Ito day of ,Q, 203, in the State of Florida,
County of :")),AVal _ A� -- ��!/y')
Signature of Notary Public ��/
1 Notary Public State of Flurioa i
4Korie Diane Hall I It Personally Known OR [ I Produced Identification
I mi My Commission rim 445966 I
I Expires 6/2012027 1 Type of Identification:
Updated 10/11/23
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