182 Sylvan Dr ACRS19-0128 HVAC permit " '' • MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0128
PERMIT ISSUED: 4/22/2019
N.I V CITY OF ATLANTIC BEACH EXPIRES: 10/19/2019
PHONEMUST CALL INSPECTION , ,
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONr OF . •
CODE, AND CITY OF •DOF 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.
. ADDRESS: DESCRIPTION:
182 SYLVAN DR MECHANICAL RESIDENTIAL HVAC- 1A/C, 1AHU, 2.5 $4510.00
HVAC TON
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170644 0010 SALTAIR SEC 03
COMPANY: ADDRESS:
JACKSONVILLE
Buehler Air Conditioning 207 20th st N BEACH FL 32250
• ADDRESS:
STEEG CYNTHIA 1 182 SYLVAN DR ATLANTIC BEACH FL 32233-4044
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.
7�71
CRIPTION ACCOUNT QUANTITY PAID AMOUNT
REFRIGERATION 055-0000-322-1000 2.5 $1600
FHRNACES AND HEATING 455-COLD-322-1000 30000 $2400
MECHANICAL BASE FEE 455-0000-322-1000 0 $5500
STATE OBPR SURCHARGE 455-0000-208-07M 0 $2'00
---Z5
STATE DCASURCHARGE 0000-208-0600 0 $200
Issued Date:4/22/2019 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 (�
Ph(904)247-5826 Fax(904)247-5845 �1`` 19 O
JOB ADDRESS: 182 sylvan M.Agents.Beach 32233 PERMTT
PROJECT VALUE S 4510.00 ARI# 20193a08 RE U/RED
Air Handling Equipment Only _X_Air Handling Unit & Condenser _Con enser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit QuantityBTU's Per Unit Seer Rating
Duct Systems: Total CFM RE U/RED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 2.shm
Heat: Unit Quantity 1 BTU's Per Unit 3o,00g Seer Rating 18
Duct Systems: Total CFM 0 RE 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 Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
At Vented Wall Furnaces _ Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
I'cnmit bewmea void if work docs not armmance within a six month penal or work is saapendcd or abandoned for six mondes.I here5am,
miry read
This application and know the same to be age and tltrtect. All previsions of laws and ordinances governing this work will be complieiacd or
not. 11w permit does not give authority in violate the provisions of any other state or local law regulation construction or the perform .
Property Owners Name Cindy tee -Diaz Phone Number 9002
Mechanical Company Buehler Air Conditioning Office Phone 904-904- 3631 F
Co. Address: 207 20th Street N City Jacksonville Beach State50
License Holder(Print): Jason Buehler -� State eCertification/Registration It_CM 1816716
Notarized Signature of License Holder
.rif"•. xtar rxxxAxx Before re this ry P day of of l 2018
�/) xYINY DWlullef eliMka
t : commi„w .cc ar.n Signature of Notary Public
W Comm.FaDi�n Ort ty,IDB
gAldfd lxrwah National Noley lffn,
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Cash Register Receipt Receipt Number
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City of Atlantic Beach R8795
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $99.00
ACRS19-0128 Address: 182 SYLVAN DR APN: 1706440010 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 1 455-0000-322-1000 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 DERR SURCHARGE 455-0DDo208-0]00 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL • 0
Date Paid: Monday,April 22, 2019
Paid By: Buehler Air Conditioning
Cashier: CT
Pay Method: CREDIT CARD 14311
Printed:Monday,April 22,2019 10:09 AM 1 of 1
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