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234 Ocean Blvd ACRS19-0315 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER ACRS19-0315 PERMIT ISSUED: 9/16/2019 CITY OF ATLANTIC BEACH EXPIRES: 3/14/2020 MUST CALL INSPECTION • • • 1 + PM FOR + INSPECTION. ALL •RK MUST CONFORM TO THE CURRENT • 1 OF • ' D+ BUILDING CODE, ' AND CITY OF ATLANTIC + CH CODE OF ORDINANCES . ALL i r • OF PERMIT APPLY, PLEASE , . 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. • : + rr • r • •F W• • 234 OCEAN BLVD MECHANICAL RESIDENTIAL HVAC - 1 A/C, 1 AH U, 3.5 $4792.00 HVAC TON TYPE OF • ZONING: r • • • GROUP: 170197 0100 ATLANTIC BEACH COMPANY: ADDRESS: Buehler Air Conditioning 207 20th ST N JACKSONVILLEBEACH FL 32250 • ADDRESS: GAUSLOW NORMAN D 234 OCEAN BLVD ATLANTIC BEACH FL 32233-5226 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. • 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 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 9/16/2019 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 UB ADDRESS: 234 Ocean Blvd, Atlantic Beach, FL 32233 PERMIT# PROJECT VALUE S 4792.00 1R/ # 10483445 REQUIRED _ Air Handling Equipment Only x :lir Handling; Unit & Condenser Condenser Only 4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit QuantitN BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED 1EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 1 Tons Per Unit 3.5ton Heat: Unit Quantity 1 BTU's Per Unit 42 000 Seer Rating 16 Duct Systems: Total CFM 0 REQUIRED IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) t)nderground 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) IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ►LL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells )THER• -rmit becomes%oid if work docs not commence within a six month period or%cork is suspended or abandoned for six months.I hcreb- ccrtiA-that I ha%c read is application and knoN%the same to be true and correct. All provisions of la%cs and ordinances governing this work N%ill be complied with whether specified or ,)t. The permit docs not gicc authority to violate the provisions of am other state or local law regulation construction or the performance of construction. 'roperty Owners Name Norman Gauslow Phone Number 813-695-2717 Rechanical Company Buehler Air Conditioning Office Phone 904-233-8831 Fax 904-485-8788 'o. Address: 207 20th Street N City Jacksonville Beach State_EL Zip 32250 ,icense Flolder (Print); Certification/Registration # CAC 1816716 ��lari;e�l Signature of License Holder Before me this 12th day of Septem 019 .� i� KUN1 i::HD267633 • ": Notary Cubltt StSignature of Notary Public i gyp';' Commiv.ua+N arM1; My Comm.f.qireBondedthtt�:tl N,ition Cash J • • Receipt • • Receipt !� v City la of : R10270 DESCRIPTION • QTY PAID PermitTRAK $107.00 ACRS19-0315 Address: 234 OCEAN BLVD APN: 170197 0100 $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 • R10270 $107.00 Date Paid: Monday, September 16, 2019 Paid By: Buehler Air Conditioning Cashier: CB Pay Method: CREDIT CARD 4 Printed: Monday,September 16,2019 9:27 AM 1 of 1