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211 Belevedere Street ACRS22-0164 Mechanical Permit Application **ALL INFORMATION - ''1v�`�`'�" HIGHLIGHTED IN �� City of Atlantic Beach Building Department i-� EIGD-fj(�o 800 Seminole Rd, Atlantic Beach, FL 32233 (,� "'� v Phone: • (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:? al — vpr JOB ADDRESS: a \\ 16e-Lv/(9,Jee., Sr' PROJECT VALUE$ 44207 ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) S©Lt gS'l a03 ❑ Air Handling Equipment Only ❑ Condenser Only ir Hand ing Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit o2VA/ i - . ' ( <77 -for S Heat: Unit Quantity BTUs per Unit 2 r© Seer Rating (REQUIRED) ill Duct Systems: Total CFM 0 eoQ t ❑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 n MISCELLANEOUS: Prefabricated Fireplace (Qty) Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators ❑ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters Solar Collection Systems Tanks (gallons) 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. �' a � •;4�� (\1'\ ( Owner Name: _�..,..�f�. S 1.-erk.4--- Phone Number: Mechanical Company: 11 LCQ r—k N o, Office Phone:c )r '-/ 3� Fax Co.Address: ao 7 I , Me"rs"' ` 5 4" ion- City: V'Tt State: Zi : U` C§: "- _ < +p`�J License Holder:_ i'4d� 1.� -\ _tCertification/Registration#(jW!�J–/ Y Notarized Signature of License Holder / /7.1% The foreg ing' strument as acknowledged before me this LLday ot 0 , OA the Stat of Florida, County of ON/ Signature of Notary Public _ • c� „P?,,°, ;,: TONI GINDLESPERGER ,: Li) ':,_ MY COMMISSION#GG 353178 Personally Known OR [ ] Produced Identification ;;,✓mop,; EXPIRES:October 6,2023 Type of Identification: °F°k,• Bonded Thru Notary Public Underwriters Updated 10/9/18