591 Main St ACRS24-0005 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
WEISE BEN C 43-07 39TH PLACE APT 5 SUNNYSIDE NY 11104
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:
170901 0000 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
591 MAIN ST MECHANICAL RESIDENTIAL
HVAC
HVAC - 1 A/C, 1 AHU, 2.5
TON $3250.00
FEES
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
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: 1/5/2024
PERMIT NUMBER
ACRS24-0005
ISSUED: 1/5/2024
EXPIRES: 7/3/2024
MECHANICAL RESIDENTIAL HVAC
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $99.00
2 of 2Issued Date: 1/5/2024
PERMIT NUMBER
ACRS24-0005
ISSUED: 1/5/2024
EXPIRES: 7/3/2024
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 Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.usPERMIT#:Q,Rslq -D )Ci
JOB ADDRESS: s1 J a//) ei PROJECT VALUE $ $ .-U6(:),CO
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) e0'1/i ' 73
Air Handling Equipment Only Condenser Only 1Air Handling Unit& Condenser
Air Conditioning: Unit Quantity I Tons per Unit 5
Heat: Unit Quantity I BTU's Per Unit 30,,C100 Seer Rating (REQUIRED) )5.A
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 I 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
n OTHER:
i
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.
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Owner Name:Rob?rF u// Phone Number: qo4 -q/ - 1p 70
Mechanical Company: ine 11Ienit- Copyjj l'1 07)1/)) Office Phone:_920Y_-_-AILM7L Fax
Co. Address: , O.7 21-1 ;5 free. Al City: c a nui//' /tCh State: i-L Zip: ,_i ia)
License Holder:723,_56Af ,?u1 k1/r State Certification/Registration # t-../(97,1‘i
Notarized Signature of License Holder ,i
The foregoing instrument was acknowledged before me this y"' day of /1G , 20p y, in the State of Florida,
County of l ,4 ct f 1)47
Signature of Notary Public 2' C,/
irili
1 Notary Public State of Florida I orf PersonallyKnown OR Produced Identification
4 Korie Diane Hell I 1
My Commission HH 445966 i Type of Identification:
4 Expires 9/20/2027 I
Updated 10/11/23