2371 Seminole ACRS18-0453 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRSIS-0453
ISSUED: 12/5/2018
CITY OF ATLANTIC BEACH EXPIRES: 6/3/2019
INSPECTIONMUST CALL . • , FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT ISTH EDITION1
CODE, OF ATLANTIC BEACH CODEOF ORDINANC
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
2371 SEMINOLE RD MECHANICAL RESIDENTIAL 5 Ton 60K BTU HVAC Unit $8725.00
HVAC
TYPE
• UILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROU I P:
ATLANTIC TOWERS
1684410062 CONDOMIUM
COMPANY: ADDRESS:
AIR SOURCE AMERICA INC 20720th stN JACKSONVILLE FL 32250BEACH
• ADDRESS:
BURTJOSEPH F II ET AL 2371 SEMINOLE RD ATLANTIC BEACH FL 32233-5971
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000322-1000 5 $4000
FURNACES AND HEATING 455-0000322-1000 600000 50'00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-000020F0200 0 52'00
Issued Date: 12/5/2018 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS18-0453
ISSUED: 12/5/2018
r CITY OF ATLANTIC BEACH EXPIRES:6/3/2019
STATED SURCHARGE ---<55-OGOU208-060G 0 $2'00
TOTAL:$99.00
Issued Date:12/5/2018 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax (904) 247-5845 t7 rr
JOB ADDRESS: 2371 Seminole Rd, Atlantic Beach, FL 32233 PERMIT# ct s _D�.J.3
PROJECT VALUE$ 8725.00 ARI d 9156773 REQUIRED
_Air Handling Equipment Only _L_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 5 16
Heat: Unit Quantity 1 BTU's Per Unit 60.000 Seer Rating
Duct Systems: Total CFM 0 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
4 Vented Wall Furnaces Refrigerator Condenser BTU's
N Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit bcmmes void ifwork does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify NN I have read
this application and know the same to be one and correct All powisions of Iaxs and ordinances governing this work will he complied with whether specified or
not 'ILe permit does not give amhorhy to violate the,provisions of any tither state or local law regulation construction or the performance ufcannmainn.
Property Owners Name Joseph Burt Phone Number 703-628.1891
Mechanical Company Air Source America Office Phone 904-233-8831 Fax 904-4R5-87RR
Co. Address: 207 20th Street N City Jacksonville Beach State Fl Zip 32250
License Holder(Print): Jason Buehler State Certification/Registration N CAC 1R16718
Notarized Signature of License Holder qn=E— —
u1 xuxr ocxxwx afore me this 6th day of Nov r 2018
?• mm�y xumkxstaewrlarya i nature of Note Public
commbitm a cc tore» 8 Notary
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