437 W 9th St ACRS20-0030 oritikf MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
i PERMIT ACRS20-0030
ISSUED: 2/4/2020
CITY OF ATLANTIC BEACH EXPIRES: 8/2/2020
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:
437 W 9TH ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2.5 $4221.00
HVAC TON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170960 0000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
Buehler Air Conditioning 207 20th ST N JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
MEEKER THOMAS J 4234 STACEY RD W JACKSONVILLE FL 32250
BEACH
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 2.5 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 U $2.00
Issued Date: 2/4/2020 1 of 2
, ,- .„ MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
r PERMIT ACRS20-0030
' ISSUED: 2/4/2020
I v. CITY OF ATLANTIC BEACH EXPIRES: 8/2/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$99.00
Issued Date: 2/4/2020 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 [� n 22
Ph (904) 247-5826 Fax (904) 247-5845 IA e.R Z� " COJC
JOB ADDRESS: 437 W. 9th St, Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUES $4,221.00 ARI# 9677496 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 2.5ton
Heat: Unit Quantity 1 BTU's Per Unit 30.000 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 BTU'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 becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Thomas Ma_eker Phone Number 904-836-6230
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 Zip 32250
License Holder(Print): Jason Buehler ,, State Certification/Registration # CAC 1816716
Notarized Signature of License Holder -
_ _ _ _ _ _ ___ Before this 3rd day of February 2020
I • � JENNIFER L JOHNSON
1 9 "%, Notary Public•State of Florida ` Signature of Notary Public ��t /�1--�
IV...TA/ #GG 914077
1 .n My Comm.E�cptres Sep 17,2023 ! ,
a Bonded through National Notary Assn. '
i° Cash Register Receipt Receipt Number
I!i
si
City of Atlantic Beach R11638
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $99.00
ACRS20-0030 Address: 437 W 9TH ST APN: 170960 0000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $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: R11638 $99.00
Date Paid: Tuesday, February 04, 2020
Paid By: Buehler Air Conditioning
Cashier: CT
Pay Method: CREDIT CARD 1
Printed:Tuesday, February 04,2020 8:35 AM 1 of 1