401 Sherry Dr (vault) BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT -- App!icant to complete all items in sections I, II, III, and IV.
I. 4C) P k LAKTkL �L.V
LOCATION Street Address:_ •�
OF Intersecting Streets: Between SKc-QQ bp– And Aruc gLv L
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.
Name of Mechanical Contractors r�
Contractor (Print) –�QTTG Master r'y\ -7 O(p
Name of
Property Owner I._An13E:;?-L
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
111. GENERAL INFO ATI
A' Type of heating fuel: e
IS OTHER CONSTRUCTION BEING DONE ON _L
XElectric THIS BUILDING OR SITE? yL ,
Cl Gas—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
Q 786�
Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) X Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed K Central O Floor X New Building
Air Conditioning: ❑ Room Central fr ❑ Existing Building
Duct System: Material 1D2C_C3DA-O Thicknoss ❑ Replacement of existing system
Maximum capacity 3o00 c.f.m. New installation(No system previously installed)
❑
❑ Refrigeration Extension or add-on to existing system
L1 Other — Specify
❑ Cooling tower: Capacity g•p.m.
❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Manlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pump (number) (Received)
❑ Tanks (number) Remarks
Q LPG contains rx (number)
❑ Unfired pressure vessel
13 Boilers Permit Approved by Date
❑ O her — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
(Tons)Y App> [
Number Units Description Model Number Manufacturer /►lea
CDPD 0"%N S tsR v3o CAQRtEl2 WC_.
HEATING - FURNACES, BOILERS, FIREPLACES
Capacity App.09bt
Number Units Description Model Number Manufacturer (UM) ASWW
3 40 03 cAAP_ t—fI_ 2 U (—
TANKS
Rory Many Nominal Capacity Type Liquid Name of Serial Approving
and Dimensions Contained Manufacturer No. Agency
i
DEPARTMENT OF BUILDING 6 C n
7652
]
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. ( y�J G
PERMIT TO BUILD I
T
4r�.rl�
THIS PERMIT MUST BE POSTED ON JOB 40.00 T.
Date April 17 19 86 1830 1 4/1 B/N
7652 .nt)CAC
Valuation$ Fee$ 40.00 1". 0 1A 4/10!8
i nno1
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 Ocean State Heat & Air MHAR-786
has permission to N install heat & air
Classification residential Zone
Owned by Lambert
Lot_ Block S/D
House No. 401 Sherry Drive I
According to approved plans which are part of this permit I
= NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
,t AFTER DATE OF ISSUE
O Building material, rubbish and debris
i from this work must not be placed J
in public space, and must be cleared
up and hauled away by either con-
tractor or owner.
I
Building Official.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER