2277 Seminole Rd A ACRS19-0370 t'"'P MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
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PERMIT ACRS19-0370
ISSUED: 11/12/2019
Jrj'4 # 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:
2277 SEMINOLE RD A MECHANICAL RESIDENTIAL HVAC- 1 A/C, 1 AHU,4 TON $4650.00
HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
168344 0001 DEWEES GRANT S/D PT
COMPANY: ADDRESS: CITY: STATE: ZIP:
Buehler Air Conditioning 207 20th ST N JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
LAYTON FAMILY TRUST 929 TRADE WINDS RD CARROLLTON GA 30116
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 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $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
j' MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER Rr , J,`
yPERMIT ACRS19-0370
�
ISSUED: 11/12/2019
A, �f,,� CITY OF ATLANTIC BEACH EXPIRES: 5/10/2020
TOTAL: $115.00
Issued Date: 11/12/2019 2 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 217-5826 Fax (904) 247-5845 R eRS' 01 -,c) --7
Jon ADDRESS; 2277 Seminole Rd. Unit A, Atlantic Beach, FL 32233 PERMIT#
PROJECT VALUE S 54650.00 ARI# 9673360 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
I'eat: 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 4ton
Heat: Unit Quantity 1 BTU'S Per Unit 48,000 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 becomes void if work does not commence ns ithin a six month period or work is suspended or abandoned or sig months.I hcreb) certify that I have read
this application and know the same to he true and correct. All provisions ot'laws and ordinances governing this work will be complied%%Mt sshether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the pertomance of construction.
Property Owners Name Lee Layton._. _ Phone Number 678-673-7353
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 tip 32250
License Holder (Print): Jason Buehler State ('ertification/Registration # CAC 1816716
Notarized Signature of License Holder
Before me this 11th day of Nov_rnbe _ 2019
i 1 41111
I /4;4.46,, JENNIFER L JOHNSON
Si nature of Notary Public r
� '. Notary Public-State of Fionda g - dr."---
i
�1 `. Commission 0 GG 914077 / i�
1 �a r, My Comm.Expires Sep 17.2023
' 0 Bonded thra gh National Notary Assr.
Llyari.. Cash Register Receipt Receipt Number
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City of Atlantic Beach R11030
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $222.00
ACRS19-0367 Address: 1729 SEMINOLE RD APN: 169642 0050 $107.00
MECHANICAL $103.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $24.00
FURNACES AND HEATING 455-0000-322-1000 36000 $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
ACRS19-0370 Address: 2277 SEMINOLE RD A APN: 168344 0001 $115.00
MECHANICAL $111.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 4 $32.00
FURNACES AND HEATING 455-0000-322-1000 48000 $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: R11030 $222.00
Date Paid: Tuesday, November 12, 2019
Paid By: Buehler Air Conditioning
Cashier: CB
Pay Method: CREDIT CARD 4
it
Printed:Tuesday, November 12,2019 11:15 AM 1 of 1 f;