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763 ATLANTIC BLVD MCAC22-0027 ROOF TOP Co nrivi,t, 22 -v© ,5 Mechanical Permit Application **ALL INFORMATION HIGHLIGHTED IN :;,', City of Atlantic Beach Building Department GRAY IS REQUIRED. ' 0Emip 800 Seminole Rd, Atlantic Beach, FL 32233 F J'''9~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ��-3C ZZ—002— JOB ADDRESS: 763 /1TLA NT tC BL-VP. PROJECT VALUE $ 'p S., ©©C. oo ❑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 )gREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 205406 728 \I D Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit 8 .S Heat: Unit Quantity BTU's Per [)nitlC.DU Seer Rating (REQUIRED) 12.9 Duct Systems:. Total CFM 3 1co i Roc To' UN i'r ❑FIRE PREVENTION .k Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) \.�0 5 o-v Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) �$ 7 Commercial Hoods Quantity (Requires 3 sets of plans) (� Fire Suppression Systems Quantity (Requires 3 sets of plans) 0` nFIRE 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 f 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: FLU EN7 CA NNAe 1 s Di51 ris7iR y Phone Number: Mechanical Company: 1R19(k-R MFCNA4icit-- /1EATYJ tc Ala 1N6ffice�Phone:C0")4Yss 3--S- Fax Co. Address: Po. $ 0�ax 8City: !7/�/ 12-0 State: Fl-Zip: 32096 License Holder: Som 1S- Fovgfl Ae— tate Certification/Registration If CmCb 1252S-1 Notarized Signature of License Holder /7\, ' r The foregoiagjnstrumert was acknowledged before me this I Z day f e_ ,a0-2 in._the State of Florida, County of k T J ct— Signature of Notary Public CS— ; � TONIGINDLESPERGER [ ] Personally Known OR [ ] Produced Identification 4 ,• ;_ MYCOMMISSION800353178 Type of Identification: . L i' „ -.Ai EXPIRES: October 6,2023 Updated 10/9/18 ,oi i0 Banded TMu Notary Public'Mimeo's