386 4th St ACRS22-0359 Mechanical Permit Application **ALL INFORMATION
I HIGHLIGHTED IN
., r . ' City of Atlantic Beach Building Department y __ — GRAY IS REQUIRED. ;
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**- 800 Seminole Rd, Atlantic Beach, FL 32233
,115- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: AQ-1:222.- O35'
10B ADDRESS:'386 4th Street Atlantic Beach, FL 32233 a PROJECT VALUE$'5,830.00
❑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) 204839129
Air Handling Equipment Only 0 Condenser Only El Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.0
Heat: Unit Quantity 1 BTU's Per Unit 36,000 Seer Rating(REQUIRED) 14.00
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 fl 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.
Owner Name:Mike Rutkowski !Phone Number:,(202)365-1549 I
Mechanical Company:,Brisk–Air Heating&Cooling,Inc. 1 Office Phone:004)808-8481 !Fax
Co.Address:IPO Box 56936 i City:racksonville I State:fl- 'Zip:02241
License Holder:'Gregory Sammons —. I State Certification/Registration# CAC1814912
Notarized Signature ofLicense Holder t
i
The fore:oi trument was acknowledge. fore me this .Z7d-y • 3 Zr 12-4-the State of Florida,
e: • Signature of Notary NU- S2___ 1111\,
:,• 1,: MY COMMISSION#GG 353178
l P; EXPIRES:October 6,2023
•.0F Fto, Bonded Thru NI,:ary Public Underwriters , [ ] Personally Known OR [ ] Produced Identificatiovel
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C �`4Y' �. •_ , Type of Identification: C
Updated 10/9/18