1946 BEACH AVE ACRS19-0080 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0080
PERMIT
ISSUED: 3/18/2019
CITY OF ATLANTIC BEACH
EXPIRES: 9/14/2019
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1946 BEACH AVE MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3.5 $4896.00
HVAC TON
i
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695420598 BEACHSIDE
COMPANY: ADDRESS: CITY: STATE: zip:
Buehler Air Conditioning 207 20th st N JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
TRUB RICHARD GIBSON 1946 BEACH AVE ATLANTIC BEACH FL 32233-5937
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 ORAN
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 4SS-0000-322-1000 3.5 $24.00
FURNACES AND HEATING 4SS-0000-322-1000 4200C $24.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.001
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.001
Issued Date:3/18/2019 1 of 2
PERMIT NUMBER
MECHANICAL RESIDENTIAL HVAC
ACRS19-0080
PERMIT
ISSUED: 3/18/2019
CITY OF ATLANTIC BEACH EXPIRES: 9/14/2019
TOTAL $107.00]
Issued Date: 3/18/2019 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 AQRs tc) -ooc9D
JOB ADDRESS: 1946 Beach Ave Atlantic Beach 32233 PERMIT#,
PROJECT VALUE 4896.00 ARI# 9665436 REQ UIRED
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 U nit Seer Rating_
Duct Systems: Total CFM REC UIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATIC N
Air Conditioning: Unit Quantity I Tons Per Unit 3.5
Heat: Unit Quantity I BTUs Per Unit Seer Rating 14
Duct Systems: Total CFM 0 REC UIRED
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 floods 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 il'work does not commence within a six month period or work is suspended or abandoned for Six months.I hereby ertify that I have rcad
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will bi.-complied w th whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or(lie perflormance ofconstruction.
Property Owners Name Gib Trub —PhoneNumber 611-803-5214
Mechanical Company Buehler Air Conditioning —Office Phonc 904-233-8831 Fax 904-485-878a
Co. Address: 207 20th Street N City Jackaonville Beach State F- 7ir .32250
License Holder (Print): Jason Buehler State Certification/Registration#
Notarized Signature of License Holder
Before me this I 5th day of March 2(119
KURT EKHMANN
140tary St L Signature of Notary Public
Pb1k-Star,of Flood.,
Commission#GG 267633
My Comm.Expires Oct 15,2022
0 15 20 22
t
on"I CD
Bonded through National Notary Assn.
Cash Register Receipt Receipt Number
City of Atlantic Beach R8449
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $107.00
ACRS19-0080 Address: 1946 BEACH AVE APN: 169542 0598 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $24.00
FURNACES AND HEATING 4S5-0000-322-1000 42000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8449 $107.00
Date Paid: Monday, March 18, 2019
Paid By: Buehler Air Conditioning
Cashier: CB
Pay Method: CREDIT CARD 6896j
Printed: Monday, March 18, 2019 8:15 AM 1 of 1