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Permit 890 Beach AvenueA!► DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB D 812/78_ 19 Valuation S PLUMBING Fee S 2.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. PERMIT NO. 3792 This is to certify that AgUa PO01 has permission to Classification residential 7nne Owned by Mr • Spain Lot Block _S /D House No 8g0 Beach AV+Bnm According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. i i PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Building material, rubbish ,rkidedr{q from this work must not be- 0 iY1- public space, and must be 01 and hauled A7v by ei?Rr ^ or owner. y 11 L I G 01 C $1 11 M nav a 1 F 4C'I Building Official. In x O Z -1 FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER ;Al0b` °,. APPLICATION FOR PL UMIJ May PERn. T Dad U $.9CA TZ Fi c, 1 v .+ . sa u. a- vn ..ar.s:�,�.acas..roc- ,.s.:'Y°+x �9va +va.4.wure+.,v,ss..v r..l4n kv.+:1:�a...n -... ... mew. a�awr +.+-tvvn.wa- avameunc�aeseaue S WT C R r,P'r1 P A t TYPE rfi� WfL oitvt J C.�✓/ t o'� ' ' ! r� � <�:. �C... �� ° 1. f , En d 6'A: y S� YI.C"2 ae::'� n P'RIP AL_.S ---TOM FIXTURE COWIT w � `:i.;L 'Y NI OF AND fIXTUPES MUST BE IN AC krfAJg'DAWE JT77 H THE MOST AlfIC —1 E6.X:� 011 OF THE StPUTH."RhI SrAM ARD P1 .6M.91"Pt' POP DEPARTMENT OF BUILDING 3652 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Da +., 19 4/4/ 170 Valuation $ 47 5 • UO Fee $ 5.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify tha -qrn i t-'h T?ennca CQ has permission to buil a 5' and $' fence Classificatio residentll.skl 7.O Owned by G. E. Spain Lo Bloc S /D House No 890 TI-ach Auenue According to approved plans which are part of this permit L a Gt TL NOTICE ONC TES AND E- U C HT SPECTED E POURIN . CT PERM&V31D Sd i'ONTR AFTER DATE OF ISSUE 1U0 . -0 -4 ► O Building material, rubbish and debris from this work not be placed in public space, and d must be cleared Bp and hauled away by either contractor or owner. Bill m. Davis Building official- FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH FLORIDA APPLICATION FOR BUILDING PERMIT FOR OFF�FICE USE ONLY Date - - -lf ... � ..... 19 7 f S . ... Permit # ... ............... Fee $............. -• - - -- Valuation $.... __ House #. g�o.,X .r.,9�e Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner- Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub- contractors be submitted to this office so that licenses can be verified. Date.... ........ ........ •-- ......-- ...... .. --- -•----------- - - - - -, 197 Owner V �4S_:..._C_ CC_.. 5 �!` �' N ----------- ••----- -- ------ •• - - - -.- ---- Address.e?O.. !z_...t ....--- • - -• -- ..Telephone Nod Y _ :Aj Y.... Architect......... - - - - -- -------------------- -------- -•-- •-- ••-- - - -. -. Address ........................................................... Telephone No ................. ............ It7 ?- ros'c�,... 1. ------ Telephone No 2.1 : * / Contractor Builder --- - .!'[1! _ _ ..--- ..__rlr. • ............. .......Address....---- ._-_...- . Lot No------ - - - - -- - -• - -- •------- - - - - -. -Block No.._ - - - - -- - � A A W IW � & Z -----•----•----- -Sub Division- - - -•• ----•..•-..- •..-- •---- .•- ..-- •• .... ....... .. . ...........: - - -• -• ... one...... - - - - -- .. . . .. ............... .. Street ----- _- ---------- - - --.. ,Side Between ......... and ........................ ................. ,.........Sts. vri Valuation / � , , / ��1 �/h �' $____ ._._.._' ......... For what purpose will building be used ........ ... ... .... ........ .. .......hype of construction .- .YT......_._..... -.--- .--_._. Dimensions of Building----------- -------- --- ---- ------ -- - - - --- Dimensions of Lot.. ....... ,..__.:..... ..Size of Footings ...................................... Size of Piers ....... .. ....... ••-------- . --------- Size of Sill ----- .._ --------- - ------- .. ..... Greatest Sill Span in ft ................. .......... Type Roof ...................................... How will Building be Heated? ................ ...... ..... .................. .. .................Will Building be on Solid or Filled Ground ?..................... ................... Size of Ceiling Joists. --- ............................. _ ....... Distance on Centers- .............. ....................... Greatest Span ...................................... . ----- it Size of Floor Joists - -- ------ - - - - -- .............................. Distance on Centers........... -- ---............................ Greatest Span ............................................ „ Size of Rafters---------------- ----- - -_ - -- -- - - - - -- - - - -- --- - - - - -- Distac C i4�Fl .... ..... , Greatest Span ............................................ „ BUILDING O F F; C £ This rectangle is to represent the lot. APR 3 1978 Two copies of plans and specifications shall B be submitted with application. y -- Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 14 4. When framing is completed. 5. When rough plumbing is completed, and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. Afr - REAR LOT LINE l40 -'m' T �z q V x goo.( to s A FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform sail" work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic .. Peach. I �: Signature of Builder.. .44A........... . . - - -. ................ Address.. ., Signature of Owner.:::_ "` ' ", .z ��t�.... - Address..C�.'.�/ ..-- ••���...... �:. ............... ............................... DEPARTMENT OF BUILDING 37 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Da te 7/28_78 19 Valuation $ 4. Fee $ 18 , 00 This permit not valid until above fee has been paid to City Treasurer, and is *-abject to revocation for violation of applicable provisions of law. This is to certify tha AcMa Pool has permission to buil a swimming pool Classificatio residential 7A P_ Owned by mr • & M=s. Grayson Spain Lo Bloc S/D House No 890 Beach Avem e 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 ,f AFTER DATE OF ISSUE .4 ► O Building material, rubbish and debris Z � from this work must not 1p p public space, and must beJ lli�►d . and hauled away by eithe# , or owner. w gs I i% 7 f � I MI r I 7 .00CA Met payJAIN Building official. 1 0 o I Ga±J FOR . OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER odoft► , ATLANTIC BEACH DI Y Of ATIANTIC BEACH; FLORIDA APPLICATION FOR BUILDING PERMIT FOR OFFIC7 USE ONLY Date . - - - - -7/ - -- •. Permit #•------------ _ -.... Fee $../ I -p- Valuation $ ------ X..... (q &V----- • .. ................ House # ... �m...... ...sr Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner- Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub - contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard - ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. �^ Date ...... 2 ... ................................... S . �i J Q ��t/ B � � E?aC - -w T-•-•--•------------------- Owner.. M l^_. -_._ l ...56!` --- Addres - - -- elephone NO s Architect. ---------------- - _ ,,- - -..ff. Address` ... ............. . . .. ......... ; //... .......... ../Telephone No .------ ••-- •-- ...... _ Contractor Builder-12-A-­ �..L._..Ov�- ----- ----------------------------- Address....f llo...�� 1/ y_ ;:.Y!_�!✓relephone No...7�3-�" LotNo --------------------------------------------------- Block No.---- - - - - -- -------- - - - -_- . ... Sub Division - -- ----....-----•-••-•-----------.......-------------------- • • t --- - - - - -- Zone- • --- ......... Street-- - - - - - For what purpose will building be used Type of construe -• ....11 E .............Sts. -- Side Between - -- - - - - - -- ---- - - - - -- ------ --- -- - - - - -- - ••-- - - - - -- and...........---- .tion-- GvN /T j Valuation $..�",... P P g yP --•---------------- Dimensions of Building---------- - - - - -- - - - - -- Dimensions of Lot -----------....: ------------------------------------- _Size of Footings -------------------------------------- Size of Piers --- .------- - ------ ---- - - - - -- -Size of Sill's ---------------- ..-. ------------ Greatest Sill Span in ft .... - ...................... Type Roof--. - How will Building be Heated?----------------------------- --- --- -- -- --------- ------ - -- - -- ----Will Building be on Solid or Filled Ground? ------ Size of Ceiling Joists ------------ -•--- -- .- .-- ------- -........... Distance on Centers .......... -.................................. Greatest Span ----------------- •---•_--__----------•------ Size of Floor Joists- -- -------------------- - - - - -- -------- - - - - -- Distance on Centers-...._ ... -------- • - - - -- .................. Greatest Span -------------------------------------------- Size of Rafters ...... --------------- - ---------- _ ------------------ ., Distance on Centers APPROVED CITY OF ATLANTIC BEACH Two copies of plans and specifications shall BUILDING O F F I C E be submitted with application. A ..., Greatest Span------------------------------- ------- - - - - -- „ This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. REAR LOT LINE Inspections required. J 0 ' 197 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and Z 3. When steel is in place and ready to pour beam. By 4. When framing is completed. i 5. When rough plumbing is completed, and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. Q 7. Electrical inspection by City of Jacksorville. M 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. .7A FRONT OF LOT P4 a A 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 building regulations of the City of Atlantic R ea c h. < `/ Signature of Builder � .. / . Address. 9. ?O' -- _..... i Signature Owner----- - - - - -- ------- • - - - -- ------------------------------------------------------ - Address ---------------------------------------------------------------------------------------------------- ._.. JuNCncr�+ cov CoA s -& Alm. •' " 4"% DWK %A* M' t0-10 MKH �r i A L __ L tiAl► S x 8' fcoTez 71.0 5e.wz 6,.. /SP!'��YEi.% P. vc.CO t'JU e MI .E Q,liit"i[ LL L.&Plr'MVSQ 4ENY 5rT ASTL • Llc-W NIC�+E Fog" • uL. ��rFV �2 Y 100%v. F-VOLLg 40�s API W STRUCTIJRdL NOTES 1. ALL MrW L. CON STRUCTIOW 5"LL CaAPLY W ITu C4AAPTER SO OF TNE. Sa RA. Ibww. Cov . 2. STEEL: WALLS- Obo 6AR5 l' ! 7, 4. \Jcy, NOTE: � F / w�o►� � ts � -�3eQ ri`��.��,►,�. Ntl�ii�l ..er a. OWTW F..XGE� !n -O" STLT27P.sE e " k, E&. Naar. AL STS .L. 5WALL CONS WIT4 A.s:T.Ov to15 GRAOF-- 40. 1 % CO KWeEM: % YN-LS - To PEE 4' - tNICK R.�aG?Q's � �. G "Tt.l tG� '? /�► 2a LAY S mE,,�,,� OF - tpw Ps.1. F;l.'q GUN rTF- f FbuREo IN PLOT -E. CO NC. RMO OSCJ4 CONC. - TO ee 15"Mi 4. ALL Natal. PiP%6 - 10 tt 5cN.4o P.V.C. wnu "R rQPPROVAL16werf wwm Nat'E.o) NO ro" %ma: /p)( 33 oarm 3' OKSAMWSVMAL '�► �L. 4 E A� 4� � S"01015`w '4, PB S PQ . (04 Dw vAi C LIE V ( a,+ONa.) - -. . 1 ' . 1 ' L JR� L� `lle OA P`7 V nab La o FILTER DETAIL. NrrAwswric. VAIV & W44IN mmil 4 GIFATL. 5LlN►P 1 N ML ' . O"I MT�l11_ N t L. STwAw Lix Tn >� wm. 7 8 i'W. Fiw loo wFrr ELECTiCW.M_ OF T"— L14NT FILTER "76uw*.n ificswt[G"c 6-,1 1 ►Lys t w, we or. p fkw. existing Patio. OR any ter FIXED POINT OF FAFSWNCE. MAIN: J- lij 0 (1- FILTER j PUMP 11 11 'HEATER 9 CIA By_ A f%l I J% -r.50 I 000- L I 1 q, gpp� for 1 "t. Oinwsions CITY OF ATLANTIC BEACH FLORIDA by APPLICATION FOR ELECTRICAL PlRNkIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. vt E LECTRICAL FIRM: ER`E CT IC NAME r Lt t ADDRESS: ...._ j�' ;& RFD BO X BLDG. SIZE BETWEEN: RES. APT. I C COMM. I i' PUBLIC I ► INDUS. / 1 NEW( ) OLD l PEW. I 1 ADDITION I I TRAILER( I TEMP. I I SIGNS ( ► SCL FT. SERVICE: NEW ( i ; INCREASE l I REPAIR { 1 FEE CONDUCTOR SIZE AMPS COPPERf ALUM SWI TCH OR BR ER AMPS PH W VOLT RACEW RV. SIZE AMPS PH W 2,?r> VOLT Z RAC AY tip' �: FEEDERS NO. SIZE NO.' SIZE NO.. SIZE LIGHTING OUTLETS Zf CONCEALED OPEN TOTA C7 RECEPTACLES CONCEALED OPEN TO AL 1 • ;2_0 0.8d MPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED d• #00 AMPS. I VIER �'- APPLIANCES SELL TRIAIIISF.' AIR H.P. RATING H.P. RATING CONDITIONING I►MP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT b•1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEO +` TRANSFORMERS: UNDER 600 V. OVER 600 V. CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT- INS.... APPLICATION IS HEREBY P!ADE FOR WATER CUT-IN AT THE FOLLOWING ADDRESS FOR --------- - CUT-IN CHARGE OF STREET NO. LOT BLOCK SUBDIVISION ACCOUNT NU?IBER T GHQ a, ' ,�� ?IA.JLING ADDRESS DATE • METER N0. DATE INSTALLED DEPARTMENT OF BUILDING PERMIT NO, CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4115 19 $ Valuation $ PLUIBING Fee $ 10.50 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that JERRY PITTS has permission to ts.;l_s Classification SINGLE FAMLY Zone n2 Owned by GRAYSON SPAIN Lot Block S/D House No. 890 BEACH AVENUE 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 - -C O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and j�auled away by either con- = tract ' owner. Building Official. FOR OFFICE I PERMIT I DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER AW Awk } i-)l I YE T] ON Co i i i� C I At N G please print /(_(o*,, n* oCCL:�A'1 ]0,NAL LICKNSE NO. NO. OY CO'.­.F-:. Isi,.KS oRy BATH 7 P -C ".B LS C-1 i-: - F s S' c R-S v.- T K p F E P S L) I S s B A PIP R 0- -11 A C ITY - GF- 41-lWiV8EAC ks BUILDING OFFICE s 1 1� c; c i.; 0 7 1 E R ],NE TOTAL - - - FlYiCl E COUNT - - - --- --" -- -- - - --- - = -- APR 1 LL I ) ON O F ✓1 IN' '-W,-ST 3 �? 1"lir, L ';COST j:-C; - -�- 7 DITION -- U-iBTIING CODE. S1 G:: A - L: O F S j jK - 0 PEP 1 17 -D D I N 'E H c. 7' T-, L -1 S - ED A S TP T S T 0 1- D F 0 - P El- , C F I F! ).-f 7 IED - IE D *-',D .1 - - Cj CC.' C i 0 Tz-1 s s r , C i S , L 'y r - V D Al - IS - - - C - jT S i- p jj;,� 7 ; 7 1: C 0 1 j:' C j::7 D TO T'j� C Il A I -- 'p S S E SEC. 27-3 C-- u N -'SI S'-T'I.NG OF CO (' W/0 OVER �,. .p �� (i L C c� l-- L V -,F --D _S 7 C TUB OR S0 S (6 u,:ITS) (3 - ------- - 1 1 \1: ------- 2 U- ;ITS) I ON s I b � P-ky C E. j T LAVATORY 3 I-TIN' I TS ) LTIN I T -'E,, SINr - - SINK & TEAT W1 1.:�NIT OR CJL2SPl- (2 - U - 41 TS) FOOD D I S- (4 0VITS) DOR (I -U-N'IT) -K ),IjCfF-N S1 DRINKING FO (-, UNIT) DISl (2 L-11-11TS) WASTE GRI'. F - 21P L tINIS (I D SIT) 1--A.V-4TORY (I b�,,IT) 1-tVATORY, FA*. Siu (2 UNITS) Si-'O'.";-:RS G PER 1� F-kD OF. (2 IL SURGEONS SIN (3 INJTS) (3 UNITS) --RY POT, SCtT! - FLUS RIM SINK (8 UNITS) s SINI, 'fRA-P slNo: (4 1 TS (3 L-?I,',AL, P-TD-STAL, SYPHON JET LIP (4 U: !TS) URI"Al 770 IF FACH 1 1. G I N _ R, E S ;: S - (2 (3 Ul; I TS) 0 Y llC cl-Q-sr-fs, - -- p C -C'S V (2 1:'.j TS) 1/14/ LR �. — �x�crii Zs 14- -W""0- ONL v LN ACCORDANCE WITH ALL CIT BUILDWG CODES. Y �� ATLANTIC ��j'� /ti� �� ND 1u� 10- 000 00444 Application Number Address g 90 BEACH AVE MECHANICAL HVAC ONLY Property tion type descrip TO BE UPDATED Application Property Zoning 190 0 ---------- -- - - - - --- ___________ Application - valuation- ___________ suss _____ Application desc DUCT LINES__ -------------------------- __________ REPAIR _____ ____ ______ - - -- sus -- Contractor _- _ -____ Owner - ______ -- NICK'S SOLAR & AIR SYSTEMS --- --- 4891 TIMIQUANA RD FL 3221 FERNAN AVENUE JACKSONVILLE 890 BEACH BEACH FL 32233 (904) 398 -6578 - -_ - -- - -_- ATLANTIC - - - - -- ------------------ - - - - - - suss -- -.- - .-- MECHANICALTERADAMAGEDTDUCTS 00 _- Permit REPLACE WA plan Check Fee 0 Additional desc 75.00 Valuation Permit Fee • • _- -_____ Issue Date 10/11/10 Expiration D a te - - - - ------- -- ---- - - - -- ----------------------- Credited Due__ suss- - summa-- --- Charged Paid - - - -- ---- - - - - -- -- - -_ Fee summary suss -- - - ________ suss .00 75.00 .00 .00 _ - - -- Permit Fee Total 75.00 .00 .00 .00 .00 Plan Check Total .00 75.00 75.00 Grand Total �x�crii Zs 14- -W""0- ONL v LN ACCORDANCE WITH ALL CIT BUILDWG CODES. Y �� ATLANTIC ��j'� /ti� �� ND 1u� MECHANICAL PERM APPLICATION ME CITY OF ATLAN TIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 PERMIT Jos ADDRESS: PROJECT VALUE $ NEW & HEATING SYSTEM INSTALLATION AIR CONDITIONING Tons Per Unit ---- Seer Ratin � UIR.ED Air Conditioning Heat: Duct Systems: REPLACEMEN Air Conditioning: Heat: Duct Systems: Unit Quantity --- — BTU's Per UM _--- -- Q Unit Quantity �---- 6 V 1 ) - *- i r Total CFM .--- -- &HEATING SYSTEM INSTALLATIO AIR CONDITIONING � kQUIRED Tons Per Unit _---- Seer Rating Unit Quantity - ----- BTU's Per Unit _--- -- REQ Unit Quantity ____ --- Total CFM ---- -- FIRE PREVENTION Quantity Fire Sprinkler System Quantity Fire Standpipe Underground Fire Main Value Quantity Fire Hose Cabinets Hoods Quantity Commercial Fire Suppression Sy stems quantity FIRE PLACES prefabricated lace Qty- Gas Piping Ou ALL OTHER GAS PIPING o Quantity Outlets — # Vented Wall Furnaces # Water Heaters ----- OTHER: 9 - �l " r 1'�j (Requires 3 sets of plans) (Requires 3 sets of plans) n (Requires 3 sets of Pla (Requires 3 sets of Plans) (Requires 3 sets of Plans) s (Requires 3 sets of Plans) MISCELLANEOUS Automobile Lifts Boilers Elevators/Escalators Heat Exchanger pumps Refrigerator Condenser Solar Collection Systems Tanks (gallons) Wells BTU's _____— BTU's — ithin Permit becomes void if work does noo be true and correcta All prow lions of laws and ordinances governing this work will be complied with whether specifie this application and know the same or not. The permit does not give authority to vio a provisions of any other state or local law regulation construction or the performance of construction, Property Owners Name t Phone Number Mechanical Company �,��� rr:I4 c�; �� L� , pace Phone . _-., Co. Address: ell 01 If I of I