1820 TIERRA VERDE DR - HVAC ,:_,�
...,,,,itss1' CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
,� v ATLANTIC BEACH, FL 32233
\Z"--.4(;;i�V INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0178
Description: install 4-ton 48K-BTU AHU
Estimated Value: 5285
Issue Date: 9/28/2017
Expiration Date: 3/27/2018
PROPERTY ADDRESS:
Address: 1820 TIERRA VERDE DR
RE Number: 169542 5052
PROPERTY OWNER:
Name: TURNER GROCE TRACEY
Address: 1820 TIERRA VERDE DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: AIR SOURCE AMERICA INC
Address: 207 20th st N JASON BUEHLER
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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
I BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
I
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH `
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax(904)247-5845 AC-f-$ (1 - O
JOB ADDRESS: 1820 Tierra Verde Drive, Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUE$ 5,285 ARI# 9158493 REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 4
Heat: Unit Quantity 1 BTU's Per Unit 48.000 Seer Rating 14
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
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.
Property Owners Name Tracy Groce Phone Number 904-923-0276
Mechanical Company Air Source America Office Phone 904-233-8831 Fax 904-485-8788
Co.Address: 207 20th Street N City Jacksonville Beach State FL Zip 32250
License Holder(Print): Jason Buehle State Certification/Registration# CAC 1816716
•
Notarized Signature of License Holder v.,,4,
TRACY POOR Before this 22 day : -1:.•*: 2017
NOTARY PUBLIC /�
'F Signature of Nota 'ublic C' ��� A.
-:�4, : STATE OF FLORIDA / —"
'"'�'••-'"; Comm#FF129498 /�
Expires 6/4/2018