345 1st St ACRS19-0243 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
ACRS19-0243
PERMIT
ISSUED: 7/15/2019
19' CITY OF ATLANTIC BEACH EXPIRES: 1/11/2020
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:
345 1ST ST MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AHU, 3.5 $4679.00
HVAC TON
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1697660000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
Buehler Air Conditioning 207 20th ST N JACKSONVILLE FL 32250
BEACH
ADDRESS: CITY: STATE: ZIP:
AVENS MARK 345 1ST ST ATLANTIC BEACH FL 32233-5227
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 COMM.ENCEMENT.
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 3.5 $24.00
FURNACES AND HEATING 455-0000-322-1000 42000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
Issued Date: 7/15/2019 1 of 2
Avll
MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
-0243
ACRS19
PERMIT
ISSUED: 7/15/2019
rus 19, CITY OF ATLANTIC BEACH EXPIRES: 1/11/2020
TOTAL: $107.00
Issued Date:7/15/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
�C
Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: 345 1 st St, Atlantic Beach. FL 32233 PERMIT
PROJECT VALUE S A R1# REQ YIRED
Air Handling Equipment Only x Air Handling tinit & Condenser Con( enser Only
NENVAIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating_
Duct Systerns: Total CFM REQ LIRED
REP1,ACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit 3.5ton
Heat: Unit Quantity 1 BTU's Per Unit 42.000 Seer Rating-_15
Duct Systems: Total CFM 0 REQ UIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 s s of plans)
Fire Standpipe Quantity (Requires 3 s s of plans)
Under Tound Fire Main Value (Requires 3 s s of plans)
L
Fire Hose Cabinets Quantity (Requires 3 s s of plans)
Commercial Hoods Quantity (Requires 3 se s of plans)
Fire Suppression Systems Quantity (Requires 3 se s 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 -
4 Vented Wall Furnaces Refrigerator Condenser BTt 1), -
9 Water Heaters Solar Collection Systems -
Tanks(gallons)
Wells
OTI I E R:
Permit becomes%oid if%Nork does not commence within a six month period or mork is suspended or abandoned for six months.I herebN c.-nif% that I ha%e rcad
this application and know the same to he true and correct. All pro%isions of laws and ordinances goveming this%%crk%%ill be complied%%i h whether specified or
not. Ilic pcniiii does not gi%c authorit,, to%iolatc the proi isions ofan% other state or local law regulation construction or the performanc,:of'Constniction.
Property Owners Name Mark Avens —Phone Number 904,866-1200
Mechanical Company Buehler Air Conditioning -Office Phone 904-2 3-8831 Fax 904-485-87,98
Co. Address: 207 20th Street N City Jacksonville Beach State Ft,-/ij) 32250
License Holder(Print): Jason Buehler State Certification/Registration 9
-GAC 1816716
Notarized Signature of License Holder
- - - - - - - Before me this 12ih day of July 2019
KURT EICHMANN
hotary Publit State of Florida
Signature of Notary Public ZC;9�
Commission 0 GG 167633
Rd
1��W. AAv Comm.Expires Oct 15,2022
onal NOWY Assn
londed through Net,
Cash Register Receipt Receipt Number
City of Atlantic Beach R9556
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $206.00
ACRS19-0242 Address: 2233 LAUGHING GULL CIR APN: 169463 0012 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $16.00
FURNACES AND HEATING 455-0000-322-1000 24000 $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
ACRS19-0243 Address: 345 1ST ST APN: 169766 0000 $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 455-0000-322-1000 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: R9556 $206.00
Date Paid: Monday,July 15, 2019
Paid By: Buehler Air Conditioning
Cashier: CT
Pay Method: CREDIT CARD 04897J
Printed: Monday,July 15,2019 9:12 AM 1 of 1