880 BEACH AVE ACRS22-0236 application ,4C/ES 22- 002.3�
Mechanical Permit Application **ALL INFORMATION
�s ri"i j HIGHLIGHTED IN
"' City of Atlantic Beach Building Department GRAY IS REQUIRED.
' ` 800 Seminole Rd, Atlantic Beach, FL 32233
v
�-,'` Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: /eES12'0l11g
JOB ADDRESS: 8 8a L Are PROJECT VALUE $ /I'f 915
❑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 '
RPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) .51 fret*,
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air HandlingUnit& Cond'n
er
Air Conditioning: Unit Quantity Tons per Unit
Unit Quantity BTU's Per Unit Seer Rating(REQUIRED
Duct S ste . Total CFM 004,,r,-?) .
❑FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans) y
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 (l 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)
/ ,( C 1fl5 Wells
OTHER: Pelt 11 I' d d�'i ,.js1D to./gad eotoki I�60 (70641
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�7•constructionon� or the performance of construction.
Owner Name: // ,l / (4di.S 4 cc'' 4 e Phone Number:
Mechanical Company: �'d,X1., , iq 041.11:X4/..- Office Phone: 372--95/g► Fax
Co. Address: g6 q /F ,.SJC Al City: 0.7). Zoe_ State: >2 Zip:SZ2.S'7,
License Holder: 1i�.••1C. State C: if ation/Registration# CiClP/ff7.3/
Notarized Signature of License Holder �.
The forego nstrument w(as acknowledged before me this o( :0 2022Le State of Florida,
County of 0 1/
ignature of Notary Public •
,si;,;,P; TONT GINDLESPERGER
., •ersonall Known ORProduced Identification
: ,., 'c,- MY COMMISSION#GG 353178 I Y [
'': '' EXPIRES:October 6,2023 , pe of Identification:
�.'!'
' 4wF�°: Bonded'B ra Notary Public Underwriters
Updated 10/9/18