Permits 350 Beach Ave _774
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77
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC 8EACH
ATLA"TIC BEACH. FLORIDA 32233
APPLICATION FOR MECHANICAL. PERMIT CALL-IN NUMBEP
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
LOCATION Mroef Addross: _&qc�
OF Intersecfing Stroots: Iletwoon And---
EUILDING
11. IDENTIFICATION — To be completed by all applicants
fit coMs;d*f6f;on of parm;t 9;�*" for doing the woA as described in the abcv* statement we he,eby agree to 1:e,fc,,n sa;d wo-a a:::-ja-.e
-th the sttacl�Lpcl plans a"d specifications which are a part hereof and in accordance w;tn the CIty of JacksonvTo ci,cl;-*�ces &-a
cii good practice listed therein.
Home of hiloclionkal Contractors
C40041FOC110f IttiOlf) Most#?
Name of
pftpof+y
S406twre, 04 Owner signature of
or AvAot4*4 Agont Architect or Engineer
Ill. GMERAL 114 6N
A. 71"of lk-eeting 11well. B. 18 OTHER CONSTRUCTION DEIN ON
Electric THIS BUILDING OR SITE I
(71
0 Get—0 LP 0 Notioral: E3 Control Utility
Of VES, GIVE NUPAsIER OF CONSTRUCTION
0 Oa PERMIT
0 044", — Spw;fy
IV. MICK44NOCAL FOUIPMINT TO If INSTA11110 NATURE OF WORK
(110mvidle conspleto W of compoeseaft on bacli of A;*fwmi K_ Residential or Commercial
Host 0 Space 0 Recessed ;i Central 13 Paw C3 Now Building
A;t Cor4dioaing: (3 Room R contral 0 Existing Building
Doct system: Material TWc Replacement Of existing system
Manimpim capacity h/c/_�7—CAM. Now Installation(No 3ystem previously installed)
0 R04iiiii9refige Extension or add-on to existing system
0 Cooliag ftwol: Capacity 0 Other — Specify
[3 Fin titsriviklen: Number a#
0 Bwakw C3 Moolift 0 Ekallefo THIS SPACE FOR OFFICI US&ONLy
C] eslaloia� pumps —Inumbor)
E3 T041111, Insimber)
0 LPG i;o*$*k*n6_(xvmbwJ
C) UIS&W prawwo,V~
0 11,1101111111re forrnit Approved Data
0 0AW — Specafy Permit Fe&___
UST ALL EQUIPMENT
AJR CDNDMONM AND REFRIGERATION FQUIPMENT
Number Vann Dftcrfptjm caftselty A
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ICO&I Number 1WUfaCtunr ASMey
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