1762 ATLANTIC BEACH DR - HVAC (---
r-* i„ CITY OF ATLANTIC BEACH
;—. => 800 SEMINOLE ROAD
,� zATLANTIC BEACH, FL 32233
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach. FL 32233
Ph(904)247-5826 Fax (904) 247-5845 A-c.n St '— v C. 3
00 ADDRESS: 00 04)an-/-) G '3eGC.it `p( PERMIT#
PROJECT VALUE$ &UV;} ARI At (¢a\o \ I& LJ3REQUJRED
Air Handling Equipment Only -PAir Handling Unit& Condenser _Condenser Only
—
1EW AIR CONDITIONING & HEATING SYSTEM INST LLATION
Air Conditioning: Unit Quantity 1 1 Tons Per Unit )-5 D•' �j
Heat: Unit Quantity ) 1_ BTU's Per Unit ) ,1 Seer Rating 1 t
Duct Systems: Total CFM 30,000 REQUIRED I
tEPLACEMENT 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
IRE 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)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators _
t.LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER:
ermit 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
is 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
:t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name 1-c4I 6ccAoxS. Phone Number
-techanical Company V\c,C'c x c''S 'r.ocAk-ir s. Pi( tk1c'n _Office Phone`D-NPS• iFaxg(_3-f S'o31da
.o. Address: 11 .aU ?611;95 W,t lrv.x.,) �t• L City ''Srr cX..--nr w l le State ?I Zip (c
.icense Holder(Print): _ �__ 1 St'to Certificationaegistration -' C.,h�l�1aQ 5
:'otari:etl Signature of License Holder
Before me thisd'd>4 day of""n00^%.4 we y 20_ 1�Z
,,i;'........... DEBRA LYNN SPITZ Signature of Notary Public. nor
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MY COMMISSION 8 FF 168999
`re,4,0 M1 ,!: EXPIRES October 15,2018
(407)396-0153 FIorioallotaryService.com