633 Aquatic Dr. ACRS25-0139 ApplicationMECHANICAL PERMIT APPLICATION
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904)247-5826 Email: Building-Dept@coab.us
JOB ADDRESS
FOR INTERNAL OFFICE USE ONLY
PERMIT # R S a 5- 0131
"ALL information required to process
PROJECT VALUE $ -74040
❑ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only 0Air Handling Unit & Condenser
Air Conditioning: Unit Quantity
Heat: Unit Quantity
Tons per Unit
BTU's per Unit
Duct Systems: Total CFM Seer Rating (REQUIRED)
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) 2 5 226 71
❑ Air Handling Equipment Only ❑ Condenser Only j YAir Handling Unit & Condenser
Air Conditioning: Unit Quantity Tons per Unit -2,s
Heat: Unit Quantity BTU's per Unit -:Se ODC�
Duct Systems: Total CFM Seer Rating (REQUIRED) 1, 3
❑ FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Quantity
Quantity
Value
Quantity
Commercial Hoods Quantity
Fire Suppression Systems Quantity
❑ ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
Fireplace
❑ Other
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
❑ MISCELLANEOUS
Generator
Gas Tanks
Pre -fabricated Fireplace
Solar Collection Systems
NOTICE: Permit becomes expired if work does not commence within a six month period or work is suspended or abandoned for six
months. 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 regu ation construction or the performance of construction.
PROPERTY OWNER Name e/1— r p g� �f_ ley Phone 90L/_ 33!LK /�
MECHANICAL COMPANY Name
Address 12SI1 / �� / s� ��� City _I 01.X- v State FL. Zip -z,222S
License Holder �� State Certification/Registration#
"In lieu of signed, sworn and notari ed signatures of the property owner, agent and/or contractor, and under penalties of
perjury, I declare that I have read and exa is the foregoing application andth t the facts stated in it are true and correct."
-17-2,5
SIGNATURE OF CONTRACTOR PRINT OR TYPE NAME OF CONTRACTOR DATE
Mechanical Permit Application 11.06.2024