101 FLEET LANDING DR - HVAC MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845 •
I Co _ ��_ ' Z 4-8
JOB ADDRESS: /)/ /7- - jis,,-i..0)iye- AfD PERMIT#
PROJECT VALUE $ 3 yoU ARI# r 7`/ REQUIRED
7.
Air Handling Equipment Only ir 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit /
Heat: Unit Quantity / BTU's Per Unit yk'A Seer Rating /
Duct Systems: Total CFM 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 /bl67 64-N,eirr 4- Phone Number 24't' f rpo
Mechanical Company /i/z PRO $6 k4.1i es,/ // - Office Phone fs`i-y y s/ Fax —
Co. Address: ( ()U S C 1Z- `9 City 14/1 kt-Xv I 1 U- State F- Zip 3 e 23 V
License Holder(Print): & ' /7l L�',,,p51,,7 State ertifi tion/Registr,on# 1e /c 9G
Notarized Signature of License Holder - ditie
,• DAYNA H.WILLIAMS �.. Before me this jl S1 day filitT 20
I MY COMMISSION s FF 217841 y • I ,
If EXPIRES:August 7,2019Ul l,il`"I°,"Y,,_"'
Bonded Thru Notary Public Undenatters Signature of No Public