BONITA 755 r F. CI'T'Y OF ATLAN'T'IC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: 1 R'0
Owner of Property: oc r S Wt o 4--\
Address: a ) �,'� Li �C(�'C . ( �. Telephone: �- 1
Contractor: 60 6 A-Ij CDPJ *V7 e NN SVCS. 1 f*j(-'State License Number:
Contractor's Address: P n (?''",° Lill 7-VI '5 I-L 1 z z 10
Telephone: Z-y 7 3 77 7 Fax: _ 2 4-1 r y 7
Scope of Work: E'- 9,0 o '`--
Deck Slope: Greater than 2:12 F Less than 2:12
Valuation of work: ro a • o<�,
Product Name(Example: Timberline): QVJ FMC (a /Z(V
Manufacturer(Example: GAF): \ �+" N Cr-i
ASTM Designation(s): A 51-41 D 3V6 Z ! 3a.
Required Inspections: Sheathing and Final
Date:
Signature of Owner:
AS TO OWNER: �w�+r a•� Co
Sworn to and subscribed before me this day of �e,r`
State of Florida,County of Duval
Notary's Signature:
�.Pu JEANNE M.SHAW ❑ Pe nally known
MY COMMISSION#DD 4359862-Produced identification
( °• EXPIRES:May 31,2M9 j)�—��� ��
I 'F iF cy r' Om4ad Thru Notary Public Underwrbm Type of identification produced, _
Signature of Contractor: Date:
AS TO CONTRACTOR: lorvo,rt Dn"s NeA*nar
Sworn to and subscribed before me this day of be t Abe ,20c_
State of Florida,County of Duval
Notary's Signature: r-----
j M.SHAW
gi
nv COMMISSION#DD 435986
jZ
EXPIRES:May 31,2009 ❑ Personally kno
ionde<l Thru Nddry Pubirc Undenvrlttan [a,-1%roduced identification
Type of identification produced 1— (I\J LP C-
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http:J/www.ei.atlantic-beach.fl.us
Page 1 Revised 2!21103
CITY OF ATLANTIC B
EACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031530 Date 11/01/05
Property Address . . . . . . 755 BONITA RD
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
Owner Contractor
------------------------ ------------------------
THOMPSON,DORIS NELIGAN CONSTRUCTION
755 BONITA ROAD, PO BOX 49249
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-3777
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . -
Permit Fee . . . . 75 . 00 Plan Check Fee . .00
Issue Date . . . . Valuation 3500
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILD NNC 6"ICIAL
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.
LOCATION Street Address: SS ry
OF Intersecting Streets: Between And
BUILDING
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 attaclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Nerve of Mechanical al �, MasConter � 7
Contractor (Print) (� Mester
Name of
Property Owner 0 1.41 �.i
Signature of Owner Signature of
or Authorised Agent Architect or Engineer
111. GENERAL INFORMATI
A, Type of hooting fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
Bectric THIS BUILDING OR SITE?
❑ Gas—❑ LP ❑ Natural (aC Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on bock of this form) t6 Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed (6 Central O Floor ❑ New Building
Air Conditioning: ❑ Room ( Control % Existing Building
❑ Duct System: Material Thickn•u - Replacement of existing system
Maximum capacity c.f.m. ❑ New Installation(No system previously Installed)
Q Refrigeration
❑ Extension or add-on to existing system
❑
❑ Cooling tower: Capacity g.p.ns. Other — Specify
❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Monlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
Q ;Gasoline pumps. (number) (Roosillred)
Q Tanks (number) Remarks
❑ LPG containeK (number)
❑ Unfired pressure Vessel
❑ Wars Permit Approved by Dom
Other — Specify Permit Fee
LIST ALL EQUIPMENT
ADR CONDITIONING AND REFRIGERATION EQUIPMENT
�
AgOnY
NNumber Volta Descsiptioa Yodel Number SlsissufacYurerQy
W rD
,
k. DSPARTIi ENT OF BUlLD1140
CITY OF ATLANTIC BEACH
._..
PERMIT 'IN'FORMATION LOCATION INFQ1tMATI'
' it 5260
Address: 7,55 BfJNITA ROAD
Permit 'J`z7PB,,MEG' S19l TICAL ATLANTIC BEACH, FLORIDA 12233 ,
lass Of Work c AL TXRATI'ON - LEGAL;DESCRIPTION '-
Proposed Use.SI9042 FAMILY Section., Qubd= Eng,. ,
i3w 1ixYg�s: I Subdivision
Est, �t1U 0.00
improv. 'Omit". 0, 010
Total r
Ams�unt.,-
'37 .00
I .
,. to APPLICATION PEES
Ns � PERMIT 00
37
.dd 37 1
y,
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O
ACKSt R EES CH, PL 32250
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NOTICE-ALL CONCRET9 FORMS ANP FOOTIMOS MUST SES INSPECTED 6EFORE POU1141*0
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
1
,I
MATERIAL, ANC?DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
LEAI ED UP AND HAULED AWAY BY.E`ITHER CONTRACTOR OR OWNER
f
AZUR TC) + Y VV TH THE MECHAN CS' LIEN LAW ' LT IN
It10E FOR BUILDING t'mPR
f ",.,+t�crlRttE.* PRC1Y ;ASIS 1NtHICH ARE. PART OF THIS PERMIT AND 'SUBJECT TU I tV0CA'C4,0N FOR,
APS, PROV OF LAIN.
R"ViNI!, mama
1
n.. �,� }. ,�, sr+ tr .,re:•. '���+ 137
s >
n
DEPARTMENT OF 00ILDINd "
CITY OF ATLAN rIC BEACH
----- PERMIT INFORMATION -w ------- LOCATION' �N�'OF�Ml��`�ON ..-__-_-
Permit N ber*. 15326 Address , 755 BONITA ROAD
Permit '` «PLUMEING ATLANTIC 'BEACH FLORIDA 32233
Class cif 'Wark«ALTERAT 0N . LEGAL DESCRIPTION ------,_..--
Block: M Lot : Twp*. 0
. Proposed U .#81N0L FAHILY Sections fl Subd« Rrigt.
I3 e l ixxgs � S°ubdivision-«
Es,t W V'a l ue« 0 .00
Improv. `Coast , 0. 00
�y
Total -1�"e�tee,,�t« 25.01
Am€ unt ., � a w',x," C w�a 00
ate
AR2°
ak
SENT
y f
�g u �TION » �. _ �w ,__,� APPLICATION FEES }_}_ �_�/_�
7> 321N: � ,.sr � IT �25.ti7'4.F
' Fa"itx 'may(
iFLOi I t)A �gy Y
x V 1 x
I 0i ------
4
'asPLU'MBI CIS TILE
qfy /yyM }wy{ Fyy {y«g y{y, ypyyy[^
c';F .., li
1arMi P_ W!'. WR ' .,W ».a.i►.90dMa# k' -
JACRSq BEACH, PL 32250
411111
:C yp# Y _
w,ro
b 'iv
°
i
i
Nance-INSPECTIONS MST SE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
s
BUILDING IvTERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED 44 PUBLIC SPACE,AND MUST BE
CLEARED UPIAND HAULED AWAY BY EITHERONTRACTOR OR OWNER �
i
1
"FAILURE 'tt? COMPLY WITH THE 'MECHANICS' LIEN LAW CAN RESULT IN
THE PRO RTY OWNE"AYI-NG TWICE FOR BUILDING IMPROVEMENTS:'
ISSUED, ACCORDIN ,',TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCA �
IOLATION OE'APPLABLE PROVISIONS OF LAW.
IIs 1T 01 lici
> MANTIC BEACH SU1l.01NG D.EPARTMEN' ,
w
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ya,r:'.
CITY OF ATLANTIC BEACH
APPLICATTnu FOR PLUMBING PERMIT
'n •a;' t /'J��J
'rJOB LOCATION:
NER OF PROPERTY
sem; ATLANTIC CdAST
PLUMBING CONTRACTOR
RL��u111#siNGr&��i TILE
323 9th Ave.No.
CONTRACTOR'S ADDRESS: AN30n I F REAW W-GRIDA9122p"
TATE LICENSE NUMBER: ajl�Q'iO S TELEPHONE: C°
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
g a�...
k
SHOWERS INK
LAVATORY WATER HEATERS
r,
BATH TUBS DISHWASHERS
tiI URINALS DISPOSALS
CLOSETS WASHING MACHINE
s
} T FLOOR DRAINS SHOWER PAqW
ti r
' OTHE
:TOTAL. FIXTURES: x $3 . 50 + $15 .00
1rYf MINIMUM PERMIT FEE — $25 .00
' rvuK'��Ft
Y �w IGNATURE OF OWNER:
5.IGNATURE OF CONTRACTOR:
s' -----------------------------------------------------------
,INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
r.,
u
*,THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING COD .
`t -,,PALL A DAY AHEAD TO SCHEDULE INSPECTIONS — ( 904) 247-5826
' ;SEWER' CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
RIOR :TO COVERING UP — ( 904) 247-5834
4. 1, ^•.'..
Sep 10 09 09:06a Air Wiz 9049928907 p,1
CITY OF ATLANTIC 13EACH 09-
000 SEM94OLE ROAD,ATLANTIC BEACH,FL SMS
rl OWICE: a FAX NO.j904W,-,%ft
SUILDING�DEPTQCOAG-US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
1.JOIS ADCRE33-
I L 13 THIS A SW 0811111ff. S.DAM:
755 Bonita Road DENO 9/10/09
Atlantic Bch-,1tiF%tA 3. 2%2, ,. OYES PERMITk
14.UVAF- AD-MESS IF DIFFERENT FROM JOB ADDRESS:
Ms. Thompson Same as Job 721-9558
NECHAIII11CALCON19ACTOlk-
7.NAW OF COMPANY: &ADDRESS.:�
Air Wiz Heating & Air 8529 Alton Avenue Jacksonville, fL. 3221
9.STAE OF FLORIDA LICENSE NO, It CELL P"ONE: 11.FAX NO.:
CAC1815882 904-813-5523 992-8907
IZ EMAILADDREM I& U.
Jaxcontractor@bellsouth.ne4 OFFIONM3I-21-0808 I
Application is hereby made to obtain a permit to do the vAxk and Installations as inckated. t Certify that of work will be performed to meet the
"NI In of al laws mgulating construction in this jurisdiction. This penTit beoomes null and void d work is not conmwnwd within six(6)
months,or it Construction or work Is suspended or abandoned for a period of six(6)months at any time after via is commenced.
ARI# 3271166
CONTRACTORS SrvM-fUFC
IL 0 ASS OF WORM 116.8ti1ltum lry.3ERVICE; it CLEGINT U
0 NEW INSTALLATION 0 NEW MRESIDENTIAL 117 FLORIDA BUILDING CODE-
XMEPLACEMEINT OF EXISTING SYSTEM 19 EXISTING E3 COMMERCIAL MECHANICAL
0 ALTERATION I ADDITION TO EXIST SYSTEM
0 REPAIR 0 OTHER
lam
I Wimir EQUE11110FAT TOM 53TAUAS
19.HEAT: 13 SPACE 0 RECESSED 19CENTRAL 13 FLOOR BURNERS-
20.AIR CONDITIONING- 0 ROOM 1i CENTRAL
21.DUCT SYSTEM: MATERIAL: THICKNESS. MAX CAPACITY.=..dm
—
22.REFRIGERATION: MAX CAPACITY: dm
23.COOLING TOWER. CAPACITY: gpm
24.FIRE SPRIWtU.M: NLNABER OF HEADS:
25.LIFT SYSTEM: ELEVATOR: MANLIFT- ESCALATOR: AUTOLIFT--
26.COMMERCIAL HOOD NUMBER:
27.FIREPLACE: PREFABRICATED. MASONRY:
28.IRRIGATION: 0 PUMP 0 MILL 0 PIPING
29.GAS PWM. f OF OUTLETS: 0 GAS AHO: 0 GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR MEATUC-, 80ILEIM,UNFIRED
P:*ssuft vessa,HEAT EXCHANGER
OR COOL INDUCTS ETC. ALUE FOR OTHER ITEMS:
31.COMAS EQUftErz.
ERATIC
NUNUMBERAIRCONOITIOMOG-RE APPROVING
OF UNITS DESCRIPTION MODEL 0 MANUFACTURER TONS AGENCY
1 2 1 /2 ton heat pump 1tMD30S4151 Luxair 2 1 /2 UL
3L HEA71110 EOUr§*MT;
FLIPMAr-99-HIMLIPIM FMPM At--F-q AIR M&NIV 9:01k gTr
MJMBER APPKWING
DESCRIPTION MODEL 0 MANUFACTURER BTU AGENCY
2 1 /2 ton air handler F6rPO OH06T3X Luxair 130,00 UL
TYPE LJOUK)
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL>a AGENCY
F
91.0501 PWM APW-atm Moo:REVISED.12flW000
� ,fir ✓��.
`S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ,. = ATLANTIC BEACH, FL 32233
" INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001274 Date 9/10/09
Property Address . . . . . . 755 BONITA RD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 CU 1 AHU
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
THOMPSON, GEORGE AIR WIZ HEATING AND AIR
755 BONITA ROAD CONDITIONING
ATLANTIC BEACH FL 32233 8529 ALTON AVE
JACKSONVILLE FL 32211
(904) 821-0808
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/09/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
3OEADDRESS 7�5�c� �cl ,fz� � TYPE WORu �, ir�
PROPERTY OWNER ,��, �jF`� T LEPHONE
CONTRACTOR TELEPHONE
PERMIT NUMBER / , DATE / ' I
INSPECTIONS.• FOOTIZVG /
SLAB i
TIE BEAM
LEYM
NALUNGISMTHIZVG
FRAMING/COVER UP
RVSULATION
FLVAL RUII.DING i- z o0
CERTIFICATE OF OCCUPANCY
ELECTRICAL PERAIdM
INSPECTIONS ROUGH
FRVAL
MECEL LAICAL PESTV
INSPECTIONS ROUGH
FI2VAL
PLUAZBJNG PFS
INSPECTIONS ROUGH ADER SLAB
TOPOUT
WATERISEWER
FINAL
��>,-77
NOTES: /2 �/
7At !
MAP SHOWING SURVEY OF
n:; .'ll, l n u;l he I'tnt of Ruyal :`tuns Ali rr.curded !n
aull I�•1 of t11e Current NbUr rls .t' '•Av�l County,
r! Hector Zubla
19Q9
City of Atlantic Lcy ch
Buildin�> and 2 it
i
I
. � � i � 95�Zo•OZ�E. �.�5'
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4 1 •• d T 10
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ANG °�FfcE /{
DEC 0 6199
9
L e c e r+a RAY, SNYDER ASSOC
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IROFFS910 NAL LAND 9UR VEYOR9
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N �) • i n 1 •r l r 1.l i I H D N C ]5 J {17 f ,
DATC MLA Lr. I I 1
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OAA ITtWA.N {II r.fR/.D RY
✓BC.0F ]� RCGIrTCRCD SURVEYOR CF.RTI/ICATC NO.1161 G[O ILGIA
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SOU%em Horse Produ,tS,CM EL, C�,(7j)Lawrence E, Bennet# � f--- ,
Jet troy T. Wke -7 5b �c5►a ti� +�,
CBC 047713 rA "On Master Plans"
,s ARMSTRONG FENCE COMPANY 724-5360
` f 130 Arlington Rood, South - Jacksonville, Florida 32216
. 7• 3 2546
•; a Direction �"
Terms Available `?%/Ooct Z `v
re
Customer ���1, ::;EGIE��i4-- — /��i0�„�(/� f�. r
Address
jf� �rt/6' A c�� /s�/ % Pim/✓dX�� TL�j / J
Date
Install at: Phone Number
Att:___ -------- --- --- -- - -- ---
9 Y P p y Company proposal _s a contract---bind-,,g uoth F „ ,haver
When si ned b the purchaser and accepted b this Com on this ro osal becor7tA
and Company.
_Total Feet _.`_' Total Cost_ _ 6 ,_�40
Down Payment! _--__--
__ — Total Feefi __--_ High Balance Due Upon Completion_ � ¢v�
Approximate Starting Date_ _/
--.— ____--.- _Total Feet ----_High - -
MATERIALS PAYMENTS NOT RECEIVED AS AGREED
ARE SUBJECT TO V/2% INTEREST PER MONTH
Grate Posts _a,/� 0.D. BARBS DOWN ❑ CHECK THIS SKETCH BARBS UP C
h / y
End Posts O.D. Any additional material or labor used will be at the cost of the buyer.
Corner Posts 0.D.
Line Posts _�_ w 0.D.
Top Rail / -- - —_-0.D. Q 1
+�y FABRIC �. ► ,D►
Mesh _ r Y Gauge _� �Z
r GATE SIZES / � It
__z
------CIT p ATLANTIC JE
-_—_-- It-DING OFFtCECFf
2 6 1s
NOT RESPONSIBLE FOR ANY DAMAGES T
UNDERGROUND CABLES, PIPE, OR A Dy _
OTHER UNMARKED OBJECTS. The proposal price is given with the agreement that the Purchaser will
clear all lines for construction of fence, and properly mark with stakes,
or otherwise.
Do Not Sign Before Reading �Cotoract..
Date AccepteC
Signed . .__-3—x�--b ---- Solesman -- L - -
Signed _ --------- ----- -- ---
DEPARTMENT OF BUILDING 4651
� 6 C 1
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.- `} y`J�' : 1
PERMIT TO BUILD"
THIS PERMIT MUST BE POSTED ON JOB
Date Uar.C_ 2 7 IgZl _
Valuation$300.00 Fee$ 5.00
This permit not valid until above fee has been paid to City Treasurer, and is
j subject to revocation for violation of applicable provisions of law.
This is to certify that Armstrong Fence company.
has permission to IMll in4tai 1 a 4 f feet ligh fence as plans subm3 tted
Approved 3/26/81.
Classification RESIDENTIAL Zone
Owned bq AL s. Zub is
Lot Block
S/D Rt;Lval Palmcx
House No. 750 Bonita Road.
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
.4-----— . ► 0 Building material, rubbish and debris
from this work not be placed in
public space, andd must be cleared up
and hauled away by either contractor
or owner.
Mr. Bill M. Davis
Building OffieW.
FOR.OFFICE PERMIT D
USE ONLY NUMBER ATE CONTRACTOR
PLUMBING
ELECTRICAL
$EWER
WATER
AW AMMk
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC e[ACH. FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
1. :50 )BC)/,//T/-4 Q
LOCATION Sfr••f Address-.
OF Infers•cfing Streets: letw•en L –2 �/ r And L S �O/T CJ
BUILDING
Sub-division
It. 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 attechyd plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanleal � . /� Contractors
Contraefor (Print) tnr /v Metter C
Name of
Property Owner EC,-1-0/, Zu&A P.
Signifvro of Owner Signature o1
or Authorized Agent Architect or Engineer
111. MEltAL INFORMATION
A. Type of M•Nnq fuel:
IS OTHER CONSTRUCTION BEING GONE ON
��
�Eloctric THIS BUILDING OR SITE f
❑ Ga—❑ LP ❑ Natural ❑ Control Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ on PERMIT
❑ Other — Specify
IV. WICHANICAL EQUIPMENT TO It INSTALLED NATURE OF WORK
(Provide complete list of components on back of
this form) Erl--Residentlal or ❑ Commercial
151,11"-Heal ❑ Space ❑ Recessed l centroi D flow ❑ New Building
tf�Air Corldrffoninq: ❑ Room Et"'Confrel Existing Building
❑ Duct System- Material Thickness replacement of existing system
Masimvm eapeeity sfft ❑ New Installation(No system prevlously Installed)
❑ Refrigeration ❑ Extension or add-on to existing system
E) Cooling
Other— Specify Cooling lower: Capacity q.p.m.
❑ Fire sprinklers: Numoer of heads
❑ Elora w ❑ Meniiff ❑ Esealefer {number)
THIS SPACE POE OFFICE USE ONLY
Gasoline(3 pump) i)numbel)
❑ T&A, Invmbe►) Remarks
❑ LIG conteint (number)
❑ URA rod Prossuro vesse+
13 Sellers Pormilt Approyod by Do*<
Q Other — SPocify Permit Fe-
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Cari,rroving
Number Units DeacriDtlon Yodel Number Manufacturer ('I'otorf)y wclr
I v