82-84 W 11th St - install heat and air DEPARTMENT OF BUILDING 9128
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD PERMIT NO.
THIS PERMIT MUST BE POSTED ON JOB 146.00 IL
46.00CW
Date Sept .2.3 19 87 d235 I r 10/20/RJ
46.00 9129 'COMEValuation$ Fee$ 0235 IA 10/20/131
This permit not valid until above fee has been paid to City Treasurer,and is 10001
subject to revocation for violation of applicable provisions of law.
This is to certify that Ocean StateHHeat/Air
has permission toXB( X install heat/air
Classification New Residential Zone RG-1
Owned by Tom West Homes
Lot_ 6 •Block 64 S/D Section II
House No. 82-84 West Eleventh Street
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
--i O Building material, rubbish and debris
-1 from this work must not be placed
in public space, and must be cleared
= up and uled away by either con-
tract owner.
/1 • Building Official.
FOR OFFICE PERMIT DATE CON61CTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
I. Street Address: S 7— U� UV' � I (-1-1-` �\
LOCATION
OF Intersecting Streets: Between And
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical _�� Contractors �n
Contractor (Print) �7 V\A Master ' 1 , 1- Pk I/�
— 7 `<:'
Name of
Property Owner 1-6 AA-- \ __;
Signature of Owner' Signature of
or Authorized
�Agent - Architect or Engineer
III. GENERAL INFO TION L
A' Type of heating fuel: B.
y� IS OTHER CONSTRUCTION BEING DONE ON _
l2g Electric THIS BUILDING OR SITE?
/❑�Gas—0 LP 0 Natural 0 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION c-- `
❑ Oil PERMIT l I ?7
❑ Other — Specify
IV. MICHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) l Residential or ❑ Commercial
Heat 0 Space 0 Recessed X Central 0 Floor K New Building
pC Air Conditioning: 0 Room i C Central i ❑ Existing Building
T Duct System: Material AUC x tPJ Thickness_l___ ❑ Replacement of existing system
/\ Maximum capacity I (n C)r) c.f.m. g New installation(No system previously installed)
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other — Specify
❑ Cooling tower: Capacity g.p.m.
' ❑ Fin sprinklers: Number of Mads
❑ Elevator 0 Manlift 0 Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Received)
❑ Tanks (number) Remarks
❑ LPG containers__ (number)
❑ Unfired pressure vessel
Permit Approved by Date
❑ 'oilers
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capaci
ing
Number Unita Description Model Number Manufacturer ('�otse)Y wemcy
s
HEATING - FURNACES, BOILERS, FIREPLACES
Capacity Approving
Number Unita Description Model Number Manufacturer (BTU) Agency
2-- Pct-t"L5 •TLv U O -4 'l K` y `c '-f c___
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
and Dimensions Contained Manufacturer No. Agency
4