1729 Seminole Rd ACRS19-0367 ' y''`''�� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
J \ ACRS19-0367
_, PERMIT
ISSUED: 11/12/2019
�,,,,i,,; v CITY OF ATLANTIC BEACH EXPIRES: 5/10/2020
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:
MECHANICAL RESIDENTIAL
1729 SEMINOLE RD HVAC HVAC - 1 A/C, 1 AHU, 3 TON $4684.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169642 0050 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Buehler Air Conditioning 207 20th ST N JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
ALFORD THOMAS R 1729 SEMINOLE RD ATLANTIC BEACH FL 32233-5949
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
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 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 11/12/2019 1 of 2
P� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
y :) ACRS19-0367
T , s PERMIT ISSUED: 11/12/2019
,,,:,f y> CITY OF ATLANTIC BEACH EXPIRES: 5/10/2020
LTOTAL:$107.00
Issued Date: 11/12/2019 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 AQR5 t,9 - 03(1 :77
JOB ADDRESS: 1 729 Seminole Rd, Atlantic Beach. FL 32233 PERMIT#
PROJECT VALUE $$4684,00 A lRI # 9661113 REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only
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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3ton
Heat: Unit Quantity 1 BTU4s Per Unit 36,000 Seer Rating 14
Duct Systems: Total CFM 0 REQUIRED
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 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers Bit '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:
Permit heeonles void it 1tnrk does not contntenec within a siv month period or work is suspended or abandoned for six months. I hereht certirk that I have read
this application and knots the some to he true and correct. .\II pros cions of lasts and ordinances governing this work will be complied tt ith Whether specified or
not. the permit does not give authority to violate the plot isions of am other state or local law regulation construction or the performance of construction.
Property Owners Name Tom Alford Phone Number 904-673-2021
Mechanical Company Buehler Air Conditioning Office Phone 904-233-8831 Fax 904-485-8788
Co. Address: 207 20th Street N City Jacksonville Beach State FL lip 32250
License Holder(Print): Jason Buehler __ 'tate Certification/Registration # CAC 1816716
Notarized Signature of License Holder -----1—.._._
Before me this 5th day of October 2019
.&a�"••.. JENNIFER l JOHNSON I
+p ` Notary Public-State of Florida Signature � �_,_
( :fit,^» �, ► of Notary Public
Commission R GS 914077
2 `'
'�a cs•`�; My Comm.Expires Sept 7,2023
1 Bonded through National Notary Assn. [t1111 Iiir