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265 3rd St ACRS19-0148 HVAC permit MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0148 PERMIT ISSUED: 5/14/2019 CITY OF ATLANTIC BEACH EXPIRES: 11/10/2019 �1�111 11T1!1 0 ALL WORK MUST CONFORM TO THE CUI�PFF W1 I CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. ENOTICE: in addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the p blic records of this county,and there may be additional permits required from other governmental entities such as water man ement es. 77..77 ag 7 districts,state agencies,orfecleral agenci 265 3RD ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AH1J, 3 TON $2869.00 HVAC BUILDING USE TYPE OF REALESTATE SUBDIVISION: ZONING: GROUP: CONSTRUCTION: NUMBER: ATLANTIC BEACH 1725SO0000 TERRACE JACKSONVILLE FL 32250 Buehler Air Conditioning 207 20th st N BEACH HOWE ANDREW M 265 3RD ST ATLANTIC BEACH FL 32233-5210 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. FEES DESCRI $74.00 AC AND REFRIGERATION 455-CO00-322-1000 3 $24.00 FURNACES AND H EATING 455-0000-322-1000 36" $55.00 MECHANICAL BASE FEE 455 0030 322 1000 0 STATE OBER SURCHARGE 455-AGO-208-070D 0 1,,,,d Date:S/14/2019 1 of 2 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0148 PERMIT ISSUED: 5/14/2019 CITY OF ATLANTIC BEACH EXPIRES: 11/10/2019 STATEMASURCH= issued Date:5/14/2019 2 of 2 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph (904)247-5926 Fax(904)247-5845 C� C) - C)(,4 S JOB ADDRESS: 265 3rd St. Atlantic Beach, FL 32233 - PERMIT# PROJECT VALUE$______2869.00 ARI# 9661113 _REQ 71RED Air Handling Equipment Only _L_Air Handling Unit At Condenser _Cmu enser 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 VE—Q VIRED REPLACEMENT AIR CONDITIONING At HEATING SYSTEM INSTALLATIC N Air Conditioning: UnitQuantity I Tons Per Unit 3ton Heat: Unit Quantity 1 BTU's Per Unit 36,000 Seer Rating— 4 Duct Systems: Total CFM 0 REV 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 How 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 #Water Heaters Solar Collection Systems Tanks(gallons) Wells OTHER: Peron becomes cold ifwork does not corant,we vvithin a six rionth peflDd orwink is suspcndedor abandoned tharsix months.I hereby indifiv that I have read this application and kno�the sarm to Is,orm and comd. All provisions of laws and ordinances governing this vork v,iii bc complicd w hvdivtibe,speriti,d., ma, -rhe paranit dms not give authorit,to violate the provisionsorany other swear]mat law regulation corscractian orthe perfortmoo ofennoroction, Property Owners Name Andrew Holys PhoneNumbcr 904 210,9022 Mechanical Company AngshtgrAnrondificining Office Phone 904-23'A-RR31 Fax Q(144AS-R788 Co. Address: 207 20th Street N Citv Jacksonville Beach State-E Zip 32250 License Holder(Print): e Certification/Registration#.CA 1818716 Notarized Signature of License Holder '70 - - - - - - - - - - - - - - Before met 3 day of 20-19 tN ,. W - Signature of Notary Publi iow�d thosaiin ow.1 HM- Cash Register Receipt Receipt Number 19 City of Atlantic Beach R9050 DESCRIPTION PermitTRAK $107.00 ACRS19-0148 Address: 265 3RD ST APN: 172550 0000 $107.00 MECHANICAL $103.00 MECHANICAL BASE FEE 100 0 $55.D0 AC AND REFRIGERATION 455-0000-322-1000 3 $24.00 FURNACES AND HEATING 000 36000 $24.00 STATE SURCHARCM 22 .00 $ 00 STATE DEER SURCHARGE 455-0000-208,0i $i-00 STATE DCA SURCHARGE 455-0000-208-0( $2.�00 TOTAL FEES PAID BY RECEIPT: R9050 $107.00 Date Paid:Tuesday, May 14,2019 Paid By: Buehler Air Conditioning Cashier: CT Pay Method:CREDIT CARD 02929J Printed:Tuesday,May 14,2019 3:26 PM 1 of I it