122 S Oceanwalk Dr ACRS19-0191 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0191
PERMIT ISSUED: 6/5/2019
CITY OF ATLANTIC BEACH EXPIRES: 12/2/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
AwwFiI IT4?I ��w4t
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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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:
122 S OCEANWALK DR MECHANICAL RESIDENTIAL HVAC- I A/C, I AHU, 3 TON $4992.00
HVAC
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1694630006 OCEANWALK UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
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JACKSONVILLE FL 32250
Buehler Air Conditioning 207 20th ST N BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
OMIT
GOBER ROGER 122 OCEANWALK DR 5 ATLANTIC BEACH FL 32A3-4677
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.
LISTOF 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
$24,00
AC AND REFRIGERATION 455 000C1 322 1000 3
FURNACES AND HEATING 455-0W0 322 1000 36COC $24.00
MECHANICAL BASE FEE 455 0000 322 1000 0 $55.00
STATE DBPR SURCHARGE 455�0000 208-07M 0 $2.Go
STATE DC�SURCHARGE 455 OM-208-06W 0 s2m
Issued Date:6/5/2019 1 of 2
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0191
PERMIT ISSUED: 6/5/2019
CITY OF AT LANTIC B EACH EXPIRES: 12/2/2019
F—:::�T�OTAL-
$107 00
issued Date:6/5/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FL 32233
Ph (904) 247-5826 Fax(904)247-5845 R eAk-S 19-019 4-
JoB ADDRESS: 122 Oceanwalk Dr. S. Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUE$ 4992.00 - ARI# 9892968 REQl IRED
— Air Handling Equipment Only _2L-Air Handling Unit & Condenser —ContimserOnly
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit —
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQ IRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATIOl i
Air Conditioning: Un it Quantity 1 Tons Per Unit 3ton
Heat: Unit Quantity 1 - BTU's Per Unit 36000 Seer Rating-1 1
Duct Systems: Total CFM 0 REQuIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantit� (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 Quantit� (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qry_ Automobile Lifts
Gas Piping Outlets Boilers _ BTU's
ElevatorsfEscalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
]'emit Incomes void wwork doc,lon caromwns�within.six ancorall Nfilsdraowok is,nispoolhd.,alorskowd[or Sir,months.I harsh, ON that I bowwad
All provisionsof laws and ordhooKcs gooming this work will lo,coraphad will ,hialssrs,csificsior
ant, rac cono docs not Sicc mshioiq w lican,dw provisions wrian,ndwr slaw or local law regulation construction or thc ,crromanc,� I coostriatini.
Property Owners Name RogerGobe[ Phone Number 904- )94-0982
Mechanical Company Ruphler Air Gundillanina Office Phone A04-21R-R831 Fax 104-41IS-R789
Co. Address: 907 20th Street N City Jacksonville Bgiil State-& Zip 32250
License Holder(Print): .,1daae j:ertification/Registration# CAG L=716
Notarized Signature of License Holder
Beficlrennethis_�h da.� nl May 2019
lw� 1101T EKHMANN Signature of Notary Public
N.t.1yPirlih, StatoofFories
C.aaa%oan1(X12676d3
nw�v as cona.,E.aoso co's 202
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