1993 COLINA CT MCRS21-0010 Mechanical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 r Y\LISZ( - (:.:CJ I CD
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: r l s' ZI ` 0-ag_J
JOB ADDRESS: j C1 el 3 Chi t ,N c C47, # I ,-. , k. PROJECT VALUE $ ': 7'/
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI ti(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ 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
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)
I 'FIRE PLACES L_ MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
I 1ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
LTHER: N►6✓e Z - S `'PP Q"- 4 5- 15- 1^", k", Cr,c� mal QL -'Ne',J _,'-] c�Qr% ( Ikuus--4veti�
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Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby G
certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this 1-0
work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or on/.q Q
local law regulation construction or the performance of construction. pa eel
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Owner Name: c K5oN i s N/tii(e,-- ...S' h 4 471
0 o. Phone Number: 1 L1 `7 s9`7GV.
Mechanical Company: A G6M.far--4 1-e. ridVI'r0I°M-,P.4 Office Phone: I0 ' Z tI-S3g Fax
Co. Address: 2071 cMerdo•-) S4. City: /crk, i State: f t- Zip: 32- 2-07
License Holder: .Jot~► kHisi A leo(' _'d e r Srv•411 State Certification/Registration# CA G i is )q 745 i
Notarized Signature of License Holder .!1117I,lr7►_,,
The foregoing instrument was acknowledged before me this ` day of OCt'o')jec , 20N in the State of Florida,
County of Vv v a\ /
Signature of Notary Public
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not '00 AIN. �;;,,'• Personally Known OR [ ] Produced I�-•• - '••
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" Type of Identification: 4.'',:"1‘,,.., STEFANI SERNA
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alignd AietoN-eppold 10 atetS i;; :.°���:SCo of Florida-Notary GG
i.. r r r 0/9/18
' VNb3S INV331S ''"�� t� :�I Commission #GG 23
?�r�0.„ My Commission Expires
",17iii\o‘ July 04, 2022