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363 Atlantic Blvd Unit 6 _ 7 MECH25-0009 ApplicationName PhonePROPERTY OWNER JOB ADDRESS PROJECT VALUE $ REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ZipStateCityAddress PhoneNameMECHANICAL COMPANY 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 regulation construction or the performance of construction. FOR INTERNAL OFFICE USE ONLY PERMIT # ____________________ **ALL information required to process "In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of perjury, I declare that I have read and examined the foregoing application and that the facts stated in it are true and correct." Air Handling Equipment Only Air Conditioning:Unit Quantity ARI # (REQUIRED) Other: MECHANICAL PERMIT APPLICATION City of Atlantic Beach Building Division 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904)247-5826 Email: Building-Dept@coab.us Condenser Only Air Handling Unit & Condenser FIRE PREVENTION QuantityFire Sprinkler System (Requires 1 set of digital plans) Fire Standpipe Underground Fire Main Fire Hose Cabinets Commercial Hoods Fire Suppression Systems Gas Tanks Fireplace Generator # Vented Wall Furnaces Quantity of Outlets ALL OTHER GAS PIPING # Water Heaters Pre-fabricated Fireplace Heat: Duct Systems: Unit Quantity Total CFM Tons per Unit BTU's per Unit Seer Rating (REQUIRED) Solar Collection Systems MISCELLANEOUS Quantity Value Quantity Quantity Quantity (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) Seer Rating (REQUIRED)Total CFMDuct Systems: BTU's per UnitUnit QuantityHeat: Tons per UnitUnit QuantityAir Conditioning: Air Handling Unit & CondenserCondenser OnlyAir Handling Equipment Only ARI # (REQUIRED)NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION SIGNATURE OF CONTRACTOR PRINT OR TYPE NAME OF CONTRACTOR DATE Mechanical Permit Application 07.03.2025 EmailState Certification #License Holder