2233 Seminole Rd Unit 1 - ACRS24-0102 (2)s
MECHANICAL RESIDENTIAL HVAC
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PERMIT
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CITY OF ATLANTIC BEACH
PERMIT NUMBER
ACRS24-0102
ISSUED: 3/21/2024
EXPIRES: 9/17/2024
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:
2233 SEMINOLE RD UNIT 1 MECHANICAL RESIDENTIALHVAC HVAC - 1 A/C, 1 AHU, 3 TON $3403.00
169519 0102 OCEAN VILLAGE ONE
CONDO
COMPANY:ADDRESS:
Air Source America DBA JACKSONVILLE
207 20th STN FL 32250
Buehler Air Conditioning BEACH
KARPF BERNHARD M 128 6TH AVE #4 BROOKLYN NY 11217
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
&
DESCRIPTION
FEES
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
4SS-0000-322-1000
0
$55.00
STATE DBPR SURCHARGE
4SS-0000-208-0700
0
$2.00
Issued Date: 3/21/2024 1 of 2
Mechanical Permit Application
licatin
**A
ALL INFORMATION
City of Atlantic Beach Building Department
IGHLIGHTED' IN
GRAY IS REQUIRED.
' .:. 800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building -Deet Libco abets
PERMIT#l:
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JOB ADDRESS:, ;2al-3 5Pf'�'llylo�,�� � PROJECT
VALUE $•,�
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only
Air Conditioning: Unit Quantity
❑ Air Handling Unit
& Condenser
Tons per Unit
Heat: Unit Quantity BTUs per Unit
Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) !
a209/aq,;97,Ab
❑ Air Handling Equipment Only ❑ Condenser Only
Air Handling Unit & Condenser
Air Conditioning: Unit Quantity Tons per Unit .3i15
Heat: Unit Quantity �_ BTU's Per Unit 3W60M
Seer Rating (REQUIRED) S,
Duct Systems: Total CFM
❑FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
FIRE PLACES
Prefabricated Fireplace (Qty)
Gas Piping Outlets
❑ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
OTHER:
Quantity
Quantity
Value
Quantity
Quantity
Quantity
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital pins)
(Requires 1 set of digital pl Ins)
[_J MISCELLANEOUS:
Automobile Lifts
Boilers BTUs
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser BTUs
Solar Collection Systems
Tanks (gallons)
Wells
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: �cof4- a/V ,Ic" Phone Number: 3M14-10
Mechanical Company: _ ine h Veg A, �! fJ�i/%I� Office Phone: j;�{ �;h - J Fax
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Co. Address: t 5 f�c7r f. /V --j
_.: L rr�f��' h Statel: � Zip: ,i ')
License Holder:
Notarized Signature of License Holder
The foregoing instrument was
County of TIA
Publlc State or—Flea
Notary
h KOO* olens H84
a •'''�''��,� My corntnlfalon HHass88
ji 111t:'� rrxpires 912012027
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Certification/Registration #
before me thisa�� day of _ �%�A/2�1 , 20A, in the St9te gf Florida,
Signature of Notary Public
Personally Known OR [ ] Produced Identification
Type of Identification:
Updated 10/11/23