61 BEACH COTTAGE LN ACRS19-0073 HVAC PERM MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0073
PERMIT
ISSUED: 3/14/2019
CITY OF ATLANTIC BEACH
EXPIRES: 9/10/2019
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:
61 BEACH COTTAGE LN MECHANICAL RESIDENTIAL replace 3-ton 36K-BTU AHU $4867.00
HVAC
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COTTAGES AT ATLANTIC
1697000105 BEACH
COMPANY: ADDRESS: CITY: STATE-
Buehler Air Conditioning 207 20th st N JACKSONVILLE FL 32250
BEACH
ADDRESS: CITY:
Lee Kellison 61 Beach Cottage Ln ATLANTIC BEACH FL 32233-5251
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 4SS-0000-322-1000 3 $24.00
FURNACES AND HEATING 4SS-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 4SS-0000-322-1000 0 $SS'00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 3/14/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
V ACRS19-0073
PERMIT
ISSUED: 3/14/2019
foil CITY OF AT LANTIC BEACH EXPIRES: 9/10/2019
455-0000-208-0600 0 $2,00
STATE DCA SURCHARGE
TOTAL: $107.7oo,
Issued Date: 3/14/2019 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
JoB ADDRESS: 61 Beach Cottage Lane Atlantic Beach.FL 32266 PERMIT#
PROJECT VALUE S 4867.00 ARI# 10324352 REQUIRED
Air Handling Equipment Only Y 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 1�atint_)
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 3
Heat: Unit Quantity 1 BTU's Per Unit 36,000 Seer RatillL, 14
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 PIP ING 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 ifwork does not commence within a six month period or work is suspended or abandoned I'm-six months.I hercb% d:m1\ thai I ha�c read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will he complied%�iih�%hcihcr speciried or
not. The permit does not give authority to violate the prox isions ofany other state or local law regulation construction or the pffformancc ofcon-oruction.
Property Owners Name Lee Kellison —Phone Number 90
Mechanical Company Buehler Air Conditioning —Office Phone 04-93.3-8831 Fax 904-485-8788
Co. Address: 207 20th Street N City-Jacksonville Beach State Fl-/11) 32250
License Holder(Print): Jason Buehler Steft Certification/Registration# -CAQ-18 16716
Notarized Signature of L Icense Holder 1�7_� -1
Before nie thi day of March 2019
IURT EICHMANN S ignatu re of Notary Pub]ic
Notatry PublK-State of Florida
CommissiDn#GG 267613
MV Comm.Exptres Oct Is.2022
8"ded throt,ith Natiol,al Notafy Asw.
- I
Cash Register Receipt Receipt Number
City of Atlantic Beach R8422
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $222.00
ACRS19-0073 Address: 61 BEACH COTTAGE LN APN: 169700 0105 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 o L $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ACRS19-0078 Address: 2227 LAUGHING GULL CIR APN: 169463 0014 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8422 $222.00
Date Paid: Thursday, March 14, 2019
Paid By: Buehler Air Conditioning
Cashier: CB
Pay Method: CREDIT CARD 1489j
Printed:Thursday, March 14, 2019 10:05 AM 1 of 1