1018 Main St ACRS20-0058 1MECHrS"'%
ANICAL RESIDENTIAL HVAC PERMIT NUMBER
1;
OE.
PERMIT ACRS20-0058
ISSUED: 2/25/2020
J_ CITY OF ATLANTIC BEACH EXPIRES: 8/23/2020
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:
1018 MAIN ST MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU, 2.5
HVAC TON $4700.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170996 0200 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
JACKSONVILLE
Buehler Air Conditioning 207 20th ST N BEACH FL 32250
OWNER: ADDRESS: CITY: STATE: ZIP:
BISHOP JOHN HENRY 1018 MAIN ST ATLANTIC BEACH FL 32233
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 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 2/25/2020 1 of 2
.Al MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
'0 ACRS20-0058
411;
�� PERMIT ISSUED: 2/25/2020
j�,� CITY OF ATLANTIC BEACH EXPIRES: 8/23/2020
TOTAL:$99.00
Issued Date: 2/25/2020 2 of 2
To:AB Page 2 of 2 2020-02-251518:32 (GMT) 19044858788 From. JASON BUEHLER
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MECHANICAL-PERMIT APPLICATION
'Clay OF ATLANTIC BEACH
00 Seminole Rd Atlantic Beach,FL 32213
Ph(904)24.7-.-5g26-Fax--(00.4)-247-S845 Pi CJZS 0— 0 b Sg
Job Auwass: 101a Main St. Atlantic Beach, FL 32233 PERMiT#:
PROJECT VALUES 47mov. 4R1.# 9154971 RROUIR*40
Air-Handlint Equipment Only x Alt 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 Sy.sterns.:- Total CFM ----* *REQUIR4D. '
.. . . ...
• • •• - • -• •• • - - - • • •-. .
• •
. .. . ..• -"••- -- „.„
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION-.
Air Conditioning: Unit Quantity 1 Tons Per Unit :2•5tan
Heat: Unit Quantity 1 BTU's Per Unit 3o ow ScerRatinti 15
Duet Systems: Total CFM 0 REQUiRtb
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 aplans)
Commercial iloods Quantity (Requires 3.sets of.plans)
Fire.Suppression•Systems Quantity (Requires 3 sets of plans)
FIRE PLACES M.ESC.1.ELLANEOUS;.
PrefabricaW Firepidce Qty .Autornobile Li Its
(las Piping Outlets: Boilers :BTU's. . .
--- ---- - . " • -. -: . • - - .- •-•-• • ..-- .... .. • I..-- • - • ..... - Elvators:A*4144o --- - ..._ - •
.•• - ...• : .. - - .•.: •.
-ALL OTHER GAS PIPING • - :•:....-:.-- .--- : - • -----. .1--reat-Exchanger •• . .. -• * . „... .. ... . - --..
•-* • ..--
Quantity:of-Outlets: Pumps • --- --,
# Vented Wail.Furnaces- Refrigerator Condenser -.BTU's
*Water Heaters. Solar Collection Systems
Tunks-kettlions)
Wells
OTHER:
. .
Periititilecaiiiii.s'void if work docs not commence within i.sisi.mMittlizierickt or INA ii.iiispentled or ithiutiloned Ter six months.1 herby rt.16-ttait 1 hu•vorc-ad
this upplierttiortitml know-the satoe-0 be true-4E14 eettect, .fklt prior isionsef!Iwo uniterilinenees govcroine this stark will be.c emptied with wbether spcci lied et
ithi: `•111e.'rictin es•-not give uuthotity,Io violate iNe•prOvisirMs mi'aity miter mute or beat taw regulation t onstructiOn ortl.te.perklentmee-otcomatiction.
Property Owners Name John ny Bishop um bt r 904-434-2933
. .. . _
Mechanical Company Buehler Alt Conditioning Office Phone 904-233-8831 . Fax9114-4864788
Co..Address,' 207 20#3 $trev.N . . .. CO Jacksonviqg Beaph SItitc., FL Zip. 32260
License lioltiee(Print.); - .4.i- : ' .441 .4 aIlln.iiiillow. ......1.,..., Ceitifigf44111/Registration it CAC 181071a .
.00,r7,.. :
Notarized SignatitreparLi00.fte Mild& asto - . .
Imillidhallbollikimodhdbmilh."4" 010 Before me•this uth day of. Fehniari .1.02.0 .
. /E*41.F,Ell L...g)44.40.01. 1 Signature of Public.
,. offrerl scro‘iympuizsz;;:lisuGz;f477 Signature Notary Pub .: ". 1. - ' .•
\-•:::..,.i.i, igy.coron;:14t.giro Se?17,ND k.
l' .isactied ttrovsp.trattortai ti.iiiaiy A.R. I
dosiorimrieweiwomonowli••••="11"10"104
To AB Page 1 of 2 2020-02-25 15 18 32 (GMT) 19044858788 From. JASON BUEHLER
FAX COVER SHEET
TO AB
COMPANY
FAX NUMBER 19042475846
FROM JASON BUEHLER
DATE 2020-02-2515:18:04 GMT
RE 1018 Main St
COVER MESSAGE
Please file permit
WWW METROFAX COM
%t 11=L`J„,,
Cash Register Receipt Receipt Number
, City of Atlantic Beach R11820
-.w.a .0
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $99.00
ACRS20-0058 Address: 1018 MAIN ST APN: 170996 0200 $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: R11820 $99.00
Date Paid: Tuesday, February 25, 2020
Paid By: Buehler Air Conditioning
Cashier: FJ
Pay Method: CREDIT CARD 4
Printed:Tuesday, February 25, 2020 10:40 AM 1 of 1 i