1957 Beach Ave ACRS19-0051 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0051
PERMIT ISSUED: 2/28/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/27/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1957 BEACH AVE MECHANICAL RESIDENTIAL replace mini-split unit $3204.00
HVAC
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1696960000 NORTH ATLANTIC BCH
UNIT 2
COMPANY: ADDRESS: CITY: STATE: ZIP:
AIR SOURCE AMERICA INC 207 20th st N JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
BEACH HOUSE 1492 LLB 4038 CHICORA WOOD PL JACKSONVILLE FL 32224
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.
0
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 1 $8.00
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: 2/28/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0051
PERMIT
ISSUED: 2/28/2019
CITY OF ATLANTIC BEACH EXPIRES: 8/27/2019
TOTAL:$67.00�
Issued Date:2/28/2019 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
JOBADDRESS: 1957 Beach Ave,Atlantic Beach 32233 PERmati
PROJECT VALUE $ 3204.00 — ARI # REC UIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Con Jenser 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
Heat: Unit Quantity 1 BTU's Per Unit Seer Rating—j
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 BTUs
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void ifwork does not commence within a six month period or work is suspended or abandoned lor six nionths. I 11crcby ;ert&that I have read
this application and know the same to he true and correct. All provisions orlaws 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 performanc:of construction.
Property Owners Name Joe Valinho Phone Number 904-992-4249
Mechanical Companv Buehler Air Conditioning Office Plione 904-233-8831 FaxSO4-485-8788
Co. Address: 207 20th Street N City Jacksonville Beach State FL_ /11� 32250
License Holder(Print): Jason Buehler Slate-Certificatioii/Registration4_C,&-', 1816716 —
Notarized Signature of License Holder
Before rne this 13th day of raja"I affld�
I % &:- ;=.j=-, - 019
KURT EICHAANN
Notary Public-State of F]Iorlda Signature of Notary Pub
lic
Commission#GG 26763)
Oct 1 5;202
My Comm.Expires Oct 15,2022
t'..I Not., "'..
ded throulh National Notary Assn.
Cash Register Receipt Receipt Number
City of Atlantic Beach R8279
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $67.00
ACRS19-0051 Address: 1957 BEACH AVE APN: 169696 0000 $67.00
MECHANICAL $63.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 $8.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0
TOTAL FEES PAID BY RECEIPT: R8279 $67.00
Date Paid:Thursday, February 28, 2019
Paid By: AIR SOURCE AMERICA INC
Cashier: CT
Pay Method: CREDIT CARD 04368J
Printed:Thursday,February 28,2019 9:03 AM 1 of 1