1917 SEMINOLE RD - HVAC - Ilr----
\'s‘, CITY OF ATLANTIC BEACH
T :
4 -!� CITY OF ATLANTIC BEACH
4 s 800 SEMINOLE ROAD
J ;". ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�0 131 c
Total Payments: $87.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 1 ck\1 .(1...v-,-,: ,--.o\Q, d PERMIT# t7 / f355a
PROJECT VALUE $ -1v"at .' ARI# REQUIRED
Air Handling Equipment Only Y Air Handling Unit & Condenser Condenser Only
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
I
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity --I- Tons Per Unit l
Heat: Unit Quantity .1. BTU's Per Unit t{ ,'000 Seer Rating 1 to
Duct Systems: Total CFM tike, REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name' -i L. P.Mar_E .-4 Phone Numbek5N"0 UM-tA2--`1\
A : + `�es w✓e < ''\^^+e.v:c_ o. Office Phone�33•��3\Fax Z ck N
Mechanical Company 1
Co. Address: 2k1 2.•=e-t'1^ 'p-t '–k City e r...aState-t-1-. Zip 32250
License Holder(Print) --So.. ` ' '-"t" \\A-' State Certification/Registration#.1=N(_\%\`p�\\
P
Notarized•.,,ign a \4 `cense Holder N
. NOTARY PUBLIC
-;4 . STATE of FLORIDA Befor e this ' --2- d. . - -ems,_ 20 \-1
Airra • cowcow*cow*''J~' " pit+ss 614/2018 Signature of Notary Pu.lic �
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