Beach Ave 1651 CITY OF ATLANTIC BEACH
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MESSAGE:
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9
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
HP OfficeJet Fax Log Report
Personal Printer/Fax/Copier
Jun-17-97 01:34 PM
Identificati Resuft PUM TjWg Daw Time Dumti Diagnostic
97437445 OK 02 Sent Jun-17 01:32P 00:01:46 002194230020
7.4.0
ADDRESS- 2,
BUILDING PERMIT NUMBER
INSPECTIONS : FOOTING--/- 7-
UNDER SLAB PLUMBING
SLAB
FRAMINr,_J--,?O- 97
COVER-UP-;5r-
INSULATION
FINAL BUILDING
CERTIFICATE OF OCCUPANCY ;7- F-7
/ 33
LECTR T CAL PERM 1 T # 0
7NSPECT70NE ROUGH
FIN AT
MECHANI-CA T PERMIT
PLUMVTN,'Z PERMIT
NOTES :
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NOM 71sdl5;,P 4,-P-
CITY OF ATLANTIC BEACH
09-
P7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
11 OFFICE:(904)247-5826 a FAX NO.:(904)247-5845
BUILDING-DEPTQCOAB.US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.IS THIS A$US IPERWT. 13.DATE:
IJNO
/001. 6e, <30"914 11 YES PERMIT#:
PROPERTY OWNER:
4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
04PW4 ig I I i"�r, 1,3�
LIN )NTRACTOR:
7.NAME OF COMPANY: 8.ADDRESS.:
�9b;'
9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.:
CA C I I W IK��'Y Z-/
12.EMAIL ADDRESS: 13.OFFICE PHONE: 14.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
ARI* 9 19 ,9 ia CONTRACTORS SIGNATURE: /
1L CLASS OF WORK: 16.BUILDNO: lt4ERVICE. 18.CURRENT CODE:
13 NEW INSTALLATION 0 NEW PrRESIDENTIAL 0'07 FLORIDA BUILDING CODE-
\P REPLACEMENT OF EXISTING SYSTEM A EXISTING 0 COMMERCIAL MECHANICAL
•ALTERATION I ADDITION TO EXIST SYSTEM
•REPAIR MECMI-CLAL EcmjwmN-r To BE ATALILED: 0 OTHER
19.HEAT: 0 SPACE 13RECESSED J(CENTRAL 0 FLOOR BURNERS:
20.AIR CONDITIONING: 0 ROOM XCENTRAL
21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY:
22.REFRIGERATION: MAX CAPACITY: Cfm
23.COOLING TOWER: CAPACITY: 9PM
24.FIRE SPRINKLER: NUMBER OF HEADS:
26.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26.COMMERCIAL HOOD NUMBER:
27.FIREPLACE: PREFABRICATED: MASONRY:
28.IRRIGATION: 0 PUMP 0 WELL 0 PIPING
29.GAS PIPING: #OF OUTLETS:- 13 GAS AHU: 0 GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL,HEAT EXCHANGER
OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS:
31.COOLING EOUNIMUT:
NUMBER AIR CONDITIONING,RE RIGERATIC N EQUIPMENT,CONDENSORS,ETC, APPROVING
_21F UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY
Aig 1 92 3 2 Z2
32.HEATING EQUIFWNT:
NUMBER FURNACES.BOILERS,FIREP ES,AIR HANDLERS ETC. APPRMING
OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY
CA ff413'
C242 4 KS:
TYPE LIQUID APPROVING
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL AGENCY
BLDG04 Permit App4utton Mech:REVISED:1211 EV2DDS
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000850 Date 6/12/09
Property Address . . . . . . 1002 BEGONIA ST
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 cu 1 ahu
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ERNEST JEFF ALFORD FROSTY AIR CONDITIONING & HEAT
3020 SUGAR CREEK LANE P.O. BOX 16334
JACKSONVILLE FL 32246 JACKSONVILLE FL 32245
(904) 568-4204
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/09/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 95 . 00 95 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING, PLANNINU AND ZONING 1NSPEc-rION DLPARTMEM.
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested :
Building Contractor: Frohwein Construction,Tnc.
Building Permit Number: 8923
Address: 1469 Begonia Streeti�
Legal Description: Lot 3 Block 251 Section H
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Lowest Floor Elevation: . N/A ---------- ----------
required as built n/a
Sales Tax Certificate: �JIA-
------ - -------------
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY:
Fire Chief
Public Works
---------------
Planning Director ............... -- -- --
Building Inspector
(Urfittratf of (orrapattry
CITY OF
owftw hok- nw&
OppartmPut of Vid1btag
This Certificate isstied pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Use Cimification Bldg.Permit No,
Group Type Construciion-Fire District.
Owner of Building Address
Building Address Locality
By:
Building Official ef
POST IN A CONSPICUOUG PLACK
WJNTER CALCULATIONS CLIMATE ZONES 1 2 3
tBAS�
Z ice NINTER1 BASE ZH
�Lj GLASS SINGLE-PANE LIBLE-PANE
CC AREA x POINT WINTER ui GLASS x WINTER POINT ULT. OR WINTE AS-BUILT
C� MULTIPLIER P I TS cc AREA TER INT MULT. OVERHANG GLASS
a LEA TINT' E -TINT' FACTOR(9B) WIN. PTS.
7. N 1 .8 13.6 7.�
NE 4.. NE 10.7 10.5 4.6 �1_
E 9.2 E 6.0
.7 .8 - 3.6 - 5.7
.4 2- -18.1 -17.5 2.7 -17..
.-24.0 -23.0
SW -22.7 SW
W .2 W
4. NW 10.7 10.5
_:::�j:
.j�: 4.6 5*
w .4 H' -67.6 -57.7 -45.0
0
----------------r------------------
COND. TOTAL BASE I BASE ADJUSTED AS-BUILT
.15 FLOOR + GLASS ADJUST x GLASS GLASS GLASS
- I AREA ARE FACTOR I SUBTOTAL i BASE Wr-
.15 A ZC131�_ SUBTOTAL
f 9 8 7.3'2-
v , -f-
COMPONENT AREA x BASE WINTEFt BASE COMPONENT WINTER T__AS-BUILT
DESCRIPTION POINT MULT. WINTER .DESCRIPTION AREA x POINT MULT. WINTER
P?INIE (9C THRU 9G) POINTS
_j EXTERIOR I I P 3. 7 3
ADJACENT 3.6
-7-T-
EXTERIOR 1 15.4 v
7Z 7 Z- 4
8 �DJACENT I t 13.3 Z 1.7 4 f-S. 3 1 7- 3 1 4-
UNDER ATTIC-E 000 1.2 00
OR SINGLE 1.2
uj
ASSEM13LY 1.2 =A
BASE CEILING AREA EQUALS FLOOR AREA UNDER CEILING.1 AS-BUILT COLIN-G AREA EQUALS ACTUAL CEILING SQUAREFOOTAGE
8 RAI I : .96 _-7: Z. -
cc S B §.9 f 2
EO
ie I ��-_
FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND COND17 iFAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
INFILTRATION I A00eN 7.4 1&450 1 7,4` 177
USE TOTAL FLOOR AREA OF CONDITIONED SPACE.
TOTAL COMPONENT BASE WINTER POINTS TOTAL COMPONENT AS-BUILT WINTER POINTS
J.
BASEJHEATING7 TOTAL BASE I BASE ' TOTAL As-sum I AS-BUILT I AS-BUILT AS-BUILT
HEATING SYSTEM x WINTER Z HEATING AS-BUILT x DM x HSM x HCM- HEATING
SYSTEM MULTIPLIER POINTS POINTS WIN. PTS, (9H) (91) (9j) 'POINTS
.59 -if e, r;-3 A 10
BASE BASE BASE TOTAL , AS-BUILT I AS-BUILT I AS-BUILT I TOTAL
_j COOLING + HEATING + HOT*WATER BASE COOLING 4 HEATING + HOT WATER AS-BUILT
POINTS POINTS POINTS POINTS POINTS POINTS POINTS
POINTS
10 (From P.21 1From P.21 (Enter on P.1) (From P.21 IFr P.21 fEnter on P.1)
la-8 50 3,
zw 604� 7Z6714
* H Horizontal Glass(Skvliqhts)
* For glass with known Shading Coefficient.we sec.903.2(a).Tint 1616hipliers may be used for glass with solar screens,film.or tint.
4�kMERCALCULATIQNS
1 8A-SE BASE CLIMATE ZONES 1 -2 3
GLASS .1 1 1 T SINGLE-PANE DOUBLE-PANE AS-BUILT'
AREA SUMMER SUMMER GLASS x SUMMER POINT MULT, SUMMER INT MULT. I SUMMER f
CD PT MULT. cc REA x OVERHANG= GLASS
A
P 1 0
N 3 EA IN TIN FACTOR(98)1 SUM.pT
N 40.7
41. 381.3i 34*9
E 7.7 N 1
1 7.7 51 13
8 9 9
7 .7 E
S797-' 68'g
91
E 7 A E
0 6.2 85.4 4. 8
S 72.7 2 W' L,14
79.1 W 0p.L1
7 1-Z-1 84.3 79.1 68.8
W 791 .9
6 NW 61.6 �7 7 1.0
H'
0 T71,7 195.3
COND. TOTAL BASE BASE I ADJUSTED
.15 x FLOOR + GLASS ADJUST. x GLASS GLASS
- I AREA I AREA I FACTOR I SU 11jTTjA ±,BA P
_v t a]t�j
.15 VL '
COMPONENT BASE SUMMER" BASE SUMMER AS-BUILT
DESCRIPTION AREA x POINT MULT. SUMMER COMPONENT AREA x POINT MULT. SUMMER
E ERIOR PbINTS'A' DESCRIPTION (9C THRU 9G) POINTS
_j ADJACEN /.
_j 7
1 -7. 7 1 1-2
EXTERIOR f 3R
0 ADJACENT 57
0 ..
UNDER ATTIC /0,50 .6 77720
OR SINGLE .6
Uj
ASSEMBLY -.0
BASE CEILING AREA EUUALS FLOOR AREA UNDER CEILING kS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
SLAB 4-L 1 -37.0 4-
0 RA SED 3.99
FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR.�FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE
e '.'� ,I v
INFILIRATION 8.0 4 Y�0_70_
USE TOTAL FLOOR AREA OF CONDITIONED SPACE.
/ / T .IF
TOTAL COMPONENT BASE SUMMER POINT§ 4--.-,C A r TOTAL COMPONENT AS-BUILT SUMMER POINTS
BASEICOOLING I TO-1 "I" BASE�Rsz� TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT
COOLING SYSTEM x'. SUMMER COOLING AS-BUILT k DM x CSM x CCM COOLING
SYSTEM MULTIPLIER I *- POINTS POINTS SUM,PTS, I (9H) i (9K) I 19L) I POINTS
0 0
A6 --hl 5 3.S�'x"A_ 16-'7_x, '_ -7
NUMBER BASE BASE AS-BUILT NUMBER AS-BUILT AS-BUjLT AS-BUILT
HOT OF x . HOT WATER HOT WATER HOT WATER OF x HWM x HWCM HOT WATER
WATER BEDRQQM$ I MULTIPLIER POINTS SYSTEM DESC. BEDROOMS I (9M) (9N) POINTS
SYSTEM -7 7-
3803 W 0 704
H Horizontal Glass(Skylights)
For glass with known Shading Coefficient,see sec.903.2(a).Tint Multipliers may be used for glass with solar screens,filrp,or tint.
4.
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
L FORM 900-A-86 SECTION il — RESIDENTIAL POINT SYST EM METHOD CLIMATE ZONES
- - REVISED: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
This form may be used to demonstrate compliance with the EnJrgy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative
to this method for single-family detached dwellings,and multifamily attached dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater
than three stories must comply under Section'9 or 5.Additions to existing residential buildings must comply under section 9 or 10.Additional information may be obtained
from your local building department or the Department of Community Affairs,Energy Code Program,2571 ExecuNe Center Circle East,Tallahassee,.Florida 32399.
PROJECT NAME
AND ADDRESS: PERMITTING CLIMATE
OFFICE: W ZONE: 1E] 20 311
OWNER: PERMIT JURISDICTION
*iVe I Al 6,11's ;rk a C7-1,&,Al NO.: Lf I I NO.:
NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF � CONDITIONED so. GLASS AREA AND TYPE
UNITS COVERED BY FLOOR AREA 17MFT
ADDITION THIS SUBMITTAL: CLEA TINT,FILM,SOLAR SCREEN
EAVE OVERHANG SINGLE — SINGLE so.
- [7[–M SO. FT
MULTIFAMILY ATTACHED CHECK IF THIS SUBMITTAL LENGTH FT PANE FT. PANE
REPRESENTS A WORST CASE PORCH OVERHANGFIgIHC , DOU-BLE- So DOUBLE-[-T—M So.
SINGLE-FAMILY DETACHEOX CONDITION: i LENGTH FT PANE FT* PANE FT
NET WALL AREA AND INSULATION
MASONRY R FRAME R STEEL STUD R LOG R
I So. M ?SO. so, sol M
I I I I FT 11 FT]7Y &FT M/ / __M FT M I
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R SGL ASSEMBLY. R SLAB PERIMETER R RAISED:WD 0 CON 0 R
'Sol
so. 7�1 I I IFT
I I/10101 CiNT-1 7/ 1 1 1 1 1 FT IFT I
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN
T
UNCONDITIONED R] CENTRAL El NONE 'ELECTRIC�TRIP HEAT PUMP 0 ELECTRIC El SOLAR
SPACE R ROOM [],,NATURAL GAS F� OTHER FUELS r D NATURAL GAS 0-HEAT RECOVERY
FT� PACKAGE TERMINAL 'ROOM UNIT-OR F 1 NONE El OTHER FUELS DEDICATED HEAT PUMP
AIR CONDITIONER PACKAGE TERMINAL
IN COND TIONED HEAT PUMP
SPACE R EF SF/EF
SEER/EER COP/AFUE NUMBER OF BEDROOMS
INFILTRATION
11- 1:Oq 1
ARACTICE USED I iY771 X 100
Y#1 El #2 1-1 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1,
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
In accordance with Section 55?,V7 F.S.,I hereby certify that a plans Review of the plans and specifications covered by this calculation indicates
and specifications covered Is in complia with the compliance with the Florida Energy Code..Before construction is completed,this
Florida Energy'Code. building will be inspected f, com *ance in a.coDrdan7fth F.S.
OWNEI BUILDING OFFICIAL:
DATE:. -7 DATE:
9A I PRESCRIPTI E MEAS RES(Must be met or exceeded by all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CR CK.
EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PE�SO. FT.OF DOOR AREA. INCLUDES SLIDING GLASS DOORS,SOLID CORE,
ADJACENT DOORS _ WOOD PAN L. INSULATEM OR GLASS DOORS ONLY,
EXT.JOINTS& 904.1 TO BE CAULKED, GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED.
CRACKS
MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND
WATER HEATERS 904.2. STANDBY LOSS REQUIREMENTS. 'SWITCH OR CLEARLY MARKED CIRCUIT BREAkER(ELECTRIC),OR CUT-OFF
(GAS)MUST BE PROVIDED: AN EXTERNAL 08 BUILT4N HEAT TRAP MUST BE PROVIDED.
SWIMMING POOLS 904.3 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST
&SPAS HAVE A PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%.
HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS.IN SUCH CASES,PIPING HEATLOSS
PIPES SHALL BE LIMITED TO 17.5 BTUIH/LINEAR FOOT OF PIPE.
SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 TO 80 PSIG.
HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE NTH INDUSTRY STANDARDS&LOCAL MECHANICAL CODES. DUCTS IN
CONSTRUCTION 904.6 UNCONDITIO ED SPACE MUST BE INSULATED TO MINIMUM R- 4.2 1 JOINTS MUST BE SEALED,
HVAC CONTROLS 904.7 SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THgR OSTAT FOR EACH SYSTEM.
INSULATION 904.9 CE-ILINGS–MIN.R-19. COMMON WALLS–FRAME R-1 I OR CBS R-3. FRAME COMMON CEILINGS 8 FLOORS R-11.
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
PERMIT#
1469 BEGONIA STREET SUBDIVISION 8923 ON
ATLANTIC BEACH, FLORIDA 32233 8923
PHONE
LOT BLOCK SECTION PERMIT TYPE
CLASS OF WORK BUILDING VORK
PROPOSED USE NEW USE BUILDING
SINGLE FAMILY ,
NEW
N SINGLE
IED INSPECTOR
12 ELECTRIC M /Aft
AM
BY APPROVED REJECTEDE-1
1;7- REJECTED ED
ADDRESS---,/�
-- -- --- ----------- ------------
CONTRACTOR__�
OWNER
' PLUMBING
BUILDING--1-942z- MECHANICAL-p?
A� - -f-
ELECTRICAL_,��,�j TEMP POLE--------- misc
ELECTRICIAN
DATE FAILED DATE PASSED
TEMP POLE JEA
FOOTING
ROUGH PLUMBING
SLAB ----------- -----------
FRAMING -----------
MECHANICAL/FIREPLACE -----------
TOP OUT PLUMBING -----------
ROUGH ELECTRIC
-----------
FINAL ELECTRIC -----------
FINAL BUILDING -----------
ELEVATION SUBMITTED -----------
CERTIFICATE OF OCCUPANCY -----------
-4A
DATE ORDERED -------
DATE ISSUED - ---------
MAP SHOWING BOUNDARY SURVEY OF
LOT — BVOCK - 2-4-1 — AS SI(?WN ON MAP OF
5E-Cf�, W "W 47-t_4AJT'1C 9EA C P
A RECORDED IN PLAT BOOK PAGE -OF PUBLiC RECORDS OF DUVAL CO. FLA.
FOR rx?nWWLlkJ c-CD u 5 T,
cy 0 IV A S T
6 41
—77
9 L n C W
V41REBV CERTIFYTHAT THE SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD AREA ZONE Z AS SHOWN ON FLOOD
INSURANCE RATE MAP C) l FOR THE CITY OF JACKSONVILLE.FLORIDA.DATED 4-la-,f5-3
PERMIT NUMBER
BUILDING AND ZONING INSPECTION DIVISION
A
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: /4/10
LOCATION I,ntersecting Streets: Between 'Pin-V Add An '—f_gd�
OF
BUILDING I Sub-division
11. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described In the above 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.
d
Mechanical State Certification or
Contractor Name Registration Number 3A
Qualifying Agents ID
Signature Number a73?V
Property Owners ter, Signature of
7r4-
Name Architect or Engineer
Ill. GENERAL INFORMATION
A.Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE N
• Electric THIS BUILDING OR SITE?
• LP Gas 11 Natural Gas
• Oil 0 Solar -ii��ood IF YES, GIVE NUMBER OF CONSTRUCTION
• Other-Specify PERMIT 99A3
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) A.-e-M—Sidential El Condo 0 Apt. 0 Duplex
• Heat: A. 0 Space B. 0 Recessed C. 0 Central B. 0 Commercial
D. 0 Floor -1���Ire Place [I Wood Stove C..F.�ew Building
• Air Conditioning: A. 0 Air-to-Air Heat Pump D. D Existing Building
B. 0 Water-to-Air Heat Pump C. 0 Straight Water Cool E. 0 Replacement of existing system
D. 0 Straight Air Cool F UWeVrTnstallation (No system previously installed)
• Duct System: Total Capacity cfm G. 0 Extension or add-on to existing system
• Refrigeration H. 0 Mobile Home
• Cooling tower: Capacity—9-P.m. 1. El Other
• Fire sprinklers: Number of heads
0 Elevator 0 Manlift 0 Escalator (number)
0 Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY
0 Tanks (number) (Received)
• LPG containers (number) Remarks
• Unfired pressure vessel
0 Boilers
0 Rangehood Permit Approved by Date
E3 Cooking Equipment Permit Fee
IJ Water Heater
0 Gas Piping
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT Copecity Approving EER
Number Units D"cription Model Number Manufacturer (,Ton* Agency &COP