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Beach Ave 1651 CITY OF ATLANTIC BEACH FACSIMILE TRANSMISSION TO FOLLOW OR TO: Vnxu dldl� FAX#— wee- FROM: PV A'� PAGES TO FOLLOW: DATE: 6 -1-7- 5;7-2 MESSAGE: '�7 00 PIC/ I , ' U 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 : JOB ADDRESS /00 rypE woRKI,)e,�4) ce PROPERTY 0 WAM TELF-PHONE j/L� CONMACTO.R�� TELF-PHONE a V 6 6 AW7 -47 - PERWT VMER DATE IMPEC77ONS.- F007MVG SLAB 77EBEAM LEWEL NAff.flVG1SHE4THBVG FRAMMICOVER UP LVSULA77ON F17VAL BULLDEVG CERTIMC417?OF OCCUPANCY ET-ECTRIC4L PERMM 12VSPECTIONS ROUGH FINAL MECHANIC4L PERNM IZVSPEC77ONS ROUGH FVVAL PLU3MLVGYERM7T# EVSPEC77ONS ROUGHAWDER SL4B TOPOUT WATEMSENTIR FINAL 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