513 VIKINGS LN HVAC •1�:Ly r
11,
f CITY OF ATLANTIC BEACH
N' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
roll 9r INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0100
Description: replace 3.5-ton 42K-BTU AHU
Estimated Value: 7248
Issue Date: 3/14/2018
Expiration Date: 9/10/2018
PROPERTY ADDRESS:
Address: 513 VIKINGS LN
RE Number: 170703 0256
PROPERTY OWNER:
Name: RUMANCIK AMBER L
Address: 513 VIKINGS LN
ATLANTIC BEACH, FL 32233-4150
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.
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.
* 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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax(904)247-5845 k--C(L Q(00,
JOB ADDRESS: 513 Vikings Lane, Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUE$ 7,248 ARI# 10483445 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 3.5
Heat: Unit Quantity 1 BTU's Per Unit 42,000 Seer Rating 16
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 Joe Rumancik Phone Number 904-208-1084
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 lir 32250
License Holder(Print): Jason Buehler State Certification/Registration# CAC 1816716
Notarized Signature of License Holder
Before me this 9th day of March 2018
�,at rv�, Notary Public Slate of Florida
Kim Sandberg Signature of Notary Public
My Commission FF 164674
?or L° Expires 09/30/2018