808 Amberjack Ln ACRS24-0354 Application**ALL INFORMATION
Mechanical Permit Application HiGHLIGHTEDIN
p City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Road, Atlantic Beach, FL 32233
Phone: {904} 247-5826 Email: Buildin -Det eoab-us PERM)T a:
!OB ADDRESS: RC `s q t t Lel Ill k 6 L,_L4 ih X-3PROJECT VALUE $
L4 Z
® NEIN AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only V`Air Handling Unit & Condenser
Air Conditioning: Unit Quantity �_ Tons per Unit Jam'
Heat: Unit Quantity I BTUs per Unit Seer Rating {REQUIRED)
Duct Systems: Total CFM 5G
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # [REQUIREW
❑ Air Handling Equipment Only � Condenser Only O Air Handling Unit & Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit _ seer Rating (REQUIRED)
Duct Systems: Total CFM
Ll FIRE PREVENTION
Fire Sprinkler System
Quantity
(Requires 1 set of digital plans)
Fire Standpipe
Quantity
(Requires 1 set of digital plans)
Underground Fire Main
Value
(Requires 1 set of digital plans)
Fire Hose Cabinets
Quantity
(Requires 1 set of digital plans)
Cornmercial Hoods
Quantity
_
(Requires 1 set of digital plans}
Fire Suppression Systems
Quantity
(Requires 1 set of digital plans)
Q FIRE PLACES
❑ MISCELLANEOUS:
Prefabricated Fireplace (Qty)
Automobile Lifts
Gas Piping Outlets
Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING
Heat Exchanger
Quantity of Outlets
Pumps
# Vented Wall Furnaces
Refrigerator Condenser BTUs
# 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. 1 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.
Owner Name: f Phone Number:
Mechanical Company: E j�)1 [-�C -f7 c ` .c st-(6 Office Phone: . ! Fax
Co Address: G �C � _
Lkn IZ e- city: YctlrKSrx�a 111 state: E- Zip: OL
License Halder: I ff '�� 4r State Certification/Registration # GCY1 _ el '
Notarized Signature of License Holder Y f !��^
The forego strume t was acknowledged before me this %daf 2 the Stat�of orida,
County of - [
Signature of Notary Publi
MM ■ ersonally Known OR [ ] Produce ratification ,, [
SJUIO�Irlii� OWN" ype of Identification:
W�� Updated 10/1 V23