2293 Oceanside Ct ACRS18-0509 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
AlftPERMIT ACRS18-0509
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CITY OF ATLANTIC BEACH ISSUED: 2/21/2019EXPIRES: 8/20/2019
MUST CALL INSPECTION • • 1 , 247-5814 BY , PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT6TH EDITION1 OF •
CODE, • OF BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASEREAD CAR
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:
2293 OCEANSIDE CT MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 5 $7055.00
HVAC TONS
TYPE OF
• • GROUP:
168846S135 OCEAN SIDE
COMPANY: ADDRESS:
AIR SOURCE AMERICA INC 207 20th st N JACKSONVILLE FL 32250
BEACH
• ADDRESS:
CHRISTOPHER PASCHALL 2293 OCEANSIDE CT ATLANTIC BEACH FL 32233-5957
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 •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 S $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 2/21/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACR518-0509
� PERMIT ISSUED: 2/21/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/20/2019
TOTAL:$127.00
Issued Date:2/21/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FI, 32233
Ph (904) 247-5826 Fax (904) 247-5845 QRS I 0 _ 0 S
JOB ADDRESS: 2293 Oceanside Ct, Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUE $ 7055.00 ARI# 9893367 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 5
Heat: Unit Quantity 1 BTU's Per Unit 60,000 Seer Rating 17
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
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void it'work does not commence within a six month period or%%ork is suspended or ahandoned for six months. I hereby cerlit} that I have read
this application and know the same to he 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 Chris Paschall Phone Number 904874-0798
Mechanical Company Air Source America Office Phone 904-233-8831 Fax 904-485-8788
Co. Address: ern 20th Street N City Jacksonville Beach State_EL_Zip 32250
License Holder(Print): Jason Boehler State Certification/Registration# CAC 1816716
Notarized Signature of License Holder �r
�i. KURT EICHMANNalk Before me this 21st day of December 2018
�`* Notary Public•Stale of Fiorid"
Commtssion a GG 267633 Signature of Notary Public _�
?a+—T' My Comm.Expires Oct 15,2022
1"ed through National Notary Assn.