1057 LITTLE CYPRESS KEY - HVAC r el
r- , s sz% CITY OF ATLANTIC BEACH
r' : �? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'...--011 !) INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0195
Description: replace 3-ton 36K-BTU AHU
Estimated Value: 4348
Issue Date: 10/12/2017
Expiration Date: 4/10/2018
PROPERTY ADDRESS:
Address: 1057 LITTLE CYPRESS KEY
RE Number: 172027 5830
PROPERTY OWNER:
Name: NEUBERG CARL E TRUST ET AL
Address: 1057 LITTLE CYPRESS KEY
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
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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845 kc 0--s (I-_ O ( tJ
JOB ADDRESS: 1057 LITTLE CYPRESS KEY,ATLANTIC BEACH,FL 32233 PERMIT#
PROJECT VALUE$4,348 ARI#9661021 REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3
Heat: Unit Quantity 1 BTU's Per Unit 36,000 Seer Rating 14
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 Carl Neuberg Phone Number 703-801-1218
Mechanical Company Air Source America Office Phone 904-233-8831 Fax 904-485-8788
Co. Address: 207 20th St N City Jacksonville Beach State FL Zip 32250
License Holder(Print): Jason Buehler State Certification/Registration# CAC 1816716
Notarized Signature of License Holder dik., N.K.
Before'•: this 10 day of October 2017
nor 1.44, Notary Public State of Florida * ��
MyCoSamm eeio9FF 164674 Signature of Notary Public Ow-
j.., Expires 09t30/2018