1290 Ocean Blvd ACRS19-0250 HVAC MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
rs, PERMIT ACRS19-0250
ISSUED: 7/19/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/15/2020
MUST CALL INSPECTION • i • 1 + PM FORDAY • •
ALL i ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ! + BUILDING
• ! AND CITY OF ATLANTIC + CH 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:
MECHANICAL RESIDENTIAL
1290 OCEAN BLVD HVAC HVAC - 1 A/C, 1 AHU, 3 TON $4758.00
TYPE OF BUILDING
• • GROUP:
171824 0000 MANDALAY
ADDRESS: CITY: STATE: ZIP:
Buehler Air Conditioning 207 20th ST N JACKSONVILLEBEACH FL 32250
• A! ! • '
VAUGHN GLORIA R LIVING 1290 OCEAN BLVD ATLANTIC BEACH FL 32233-5742
TRUST
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
I
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 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
Issued Date: 7/19/2019 1 of 2
N' 10j MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r s is, ACRS19-0250
PERMIT ISSUED: 7/19/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/15/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$107.00
Issued Date: 7/19/2019 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: 1290 Ocean Blvd, Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUE$4759.00 ARI# 9157971 REE UIRED
Air Handling Equipment Only x Air Handling tlnit & Condenser Con lenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATI DIN
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM 1 STALLATIC N
Air Conditioning: Unit Quantity t Tons Per Unit 3ton
Heat: Unit Quantity 1 BTU's Per Unit 3G 000 Seer Ratin 14
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 flans)
Underground Fire Main Value (Requires 3 s s of Flans)
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 sers of plans)
FIRE PLACES MISCELLANEOtIS
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers 13"I1U's
Elevators/Escalators _
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser 13TU's_
# Water 1 seaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes toid if work does not commcncc within a six month period or work is suspended or abandoned for six months.I hercb� c rlify that I hasc read
this application and know the same to be true and correct. All provisions of laws and ordinances goserning this w will be complied wi It whether specified or
not. The permit does not give authority to v lolatc illc provisions of nn) other state or local law regulation construct on or the performance of conslnlction.
Property Owners Name Dave Altick Phone Number 904-241-0800
Mechanical Company Buehler Air Conditioning Office Phone Fay 904-485-8788
Co. Address: 207 20th Street N City State lip 32250
License [folder(Print): Jason Buehler to Ce 7ification/Re istration#
Notarized Signature of License Holder -
Before me tit 17th day of ,1 2019
:t
KURT EICHMANN —
Notary Public•State of Florida ,�
Commission M GG 167631 Signature of Notary Public
d '
e►n.' My Comm.Expires Oct t5,2011
.....handed throulh National Notary Assn.