239 Seminole Rd ACRS19-0099 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0099
PERMIT
ISSUED: 4/1/2019
CITY OF ATLANTIC BEACH
EXPIRES: 9/28/2019
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:
239 SEMINOLE RD MECHANICAL RESIDENTIAL replace 2.5-ton 3OK-BTU $4590.00
HVAC AHU
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1705250000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
Buehler Air Conditioning 207 20th st N JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
CONFIDENTIAL CONFIDENTIAL CONF xx #####
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 455-0000-322-1000 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
455-0000-208-0700 $2.00
STATE DBPR SURCHARGE 0
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:4/1/2019 1 of 2
PERMIT NUMBER
MECHANICAL RESIDENTIAL HVAC
ACRS19-0099
PERMIT
ISSUED: 4/l/2019
Will CITY OF ATLANTIC BEACH EXPIRES: 9/28/2019
TOTAL'$99.00�
Issued Date:4/l/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, Fl, 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: — 239 Seminole Rd. Atlantic Beach, FL 32233 PERMIT# A6 fs 19-ooi,5
PROJECT VALUE$____-__�590-00 A R1 # 9158144 _REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Con lenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning:- UnitQuantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM jFE-(�UIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 2.5
Heat: Unit Quantity 1 BTU's Per Unit 30,000 Seer Rating—14
Duct Systems: Total CFM 0 RE(PUIRED
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
4 Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void ifwork does not commence within a six month period or work is suspcndedor abandoned for:ixmonths.I hereby ccrti6,that I haveread
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied,.�ith whether specified or
not. 'Me permit does not give authority to violate the provisions of any other state or local law regulation construction or the performank ofconstruction.
Property Owners Name Lenny Jevic —Phone Number -662-0062
Mechanical Company Buehler Air Condotioning Office Phone 904-233-8831 Fa) 904-4&5-8788
Co. Address: 207 20th Street N City-Jackaonville Beach— Siate F L /Ili 32250
License Holder(Print): Jason Buehler State Certification/Registration 4 _CA 7, 1816 716
Notarized�ipnafure ofLicense oltler
... ............ KURT EICHMANN
day of V-54=
Notary Public-State of F&ida
Before me this 29th 2019
Commission N GG 267633
My Comm.Expires Oct 15,2022 Signature of Notary Public
Bonded through National Notary Assn.
-El rww— — —
Receipt Number
Cash Register Receipt
City of Atlantic Beach R8616
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $99.00
ACRS19-0099 Address: 239 SEMINOLE RD APN: 170525 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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: R8616 $99.00
Date Paid: Monday, April 01, 2019
Paid By: Buehler Air Conditioning
Cashier: LE
Pay Method: CREDIT CARD 2
Printed: Monday,April 01,2019 10:51 AM I of 1 Tm