2254 BAREFOOT TR GSRS22-0014 Mechanical Permit Application **ALL INFORMATION
e• �� HIGHLIGHTED IN
ke•• City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 CSRSZZ-�00l"f
' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: c2 a c ' 8-,47,- lf'A4t- PROJECT VALUE$ 9G'a-
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
I I REPLACEMENT 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 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
1K.ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets I Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
_ Wells
'OTHER: C9 1s //// t-c9- r ,-r t
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: nn.--) fJw"o/ Phone Number: 9U`/-,7c7-1-//av
Mechanical Company: W4/r--c ...5 sr,-✓.c's,f^L Office Phone: 7o',- 7t.)—>"" Fax
Co. Address: 301/7 s4.�'Ans bl11-, s '5 City: T,,x State: Fc Zip: 3°g`/I.
License Holder: .0-4-e'''. 1: Hp// State Certification/Registration# L.T 3a"'. /
Notarized Signatureof
License Holder
The foregoi trume t w s acknowled before me thisZSa _ _$S 0 th- State of Florida,
County of V
Signature of Notary Public ____---
•
- Personally Known OR [ ] Produced Identification ��
G Type of Identification:
...i!:1‘":; ;;',;,... TONI GINDLESPERGER
Updated 10/9/18
,Ak. •.,: MY COMMISSION#GG 353178
, EXPIRES:October 6,2023
•.... n,.. Bonded TAru Notary Public Underwriters