1707 BEACH AVE GARS21-0119 � Mechanical Permit Application **ALL INFORMATION
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TAP.,
.,'{:r. ''\, City of Atlantic Beach Building Department GRAY IS REQUIRED.
\,,,. 800 Seminole Rd, Atlantic Beach, FL 32233
"i,"r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1707 Beach Ave Atlantic Beach Florida 32233 PROJECT VALUE $2,000.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 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#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 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
7FIRE 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 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
✓]ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 1 Pumps
# Vented Wall Furnaces Refrigerator Condenser BTUs
# Water Heaters Solar Collection Systems
Tanks (gallons) 500
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I 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:Eastern Shores Construction Phone Number: (904)545-7878
Mechanical Company: Sawyer Gas of the Beaches Office Phone: (904)271-9615 Fax
Co. Address: 98 Penman Road City: Jacksonville Beach State: FL Zip: 32250
License Holder: Justin Hayes State Certification/Registration # 30544
Notarized Signature of License Holder % ( _ '
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The foreg instru ent was acknowledged before me this L U day of, 4-t (20 2A in th$St41. SF ;•:
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Signature of Notary Public 4+ 60.0,4.4.„( �* ••� 2*
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