338 6TH ST ACRS18-0487 HVAC permit j
i, r, Mechanical Permit Application **ALL INFORMATION
er HIGHLIGHTED IN
.- City of Atlantic Beach Building Department GRAY IS REQUIRED.
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\4v 800 Seminole Rd, Atlantic Beach, FL 32233
°';J` Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:fir -3/8.---0(07
JOB ADDRESS: 338 6th St.Atlantic Beach FL 32233 PROJECT VALUE $4,988.43
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only ❑ Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM Z
TTI J 3-9.
ElREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) it,' /
o Air Handling Equipment Only Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity f Tons per Unit 9ef' J
Heat: Unit Quantity BTU's Per Unit X706 A Seer RatirQg (REQUIRED
Duct Systems: Total CFM #Af L Q 7 (1 >e6, 3 3 s�L�/
❑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)
EFIRE PLACES 7MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#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.
Owner Name:Don Ford Phone Number: (904)235-3649
Mechanical Company: McCue Heating&Air(Home Services by McCue) Office Phone: (904)241-2151 Fax
Co. Address: 981 11th Ave.S. City: Jacksonville Beach State: FL Zip: 32250
License Holder: Mitchell L McCue S t ertificatiioon/Registration# CAC181930
Notarized Signature ofLicense Holder / 1._ (
9 f^, ' es
9 Dl/
The foregoing instrument was acknowledged before me this da of A , 20/0, in the State of Florida,
County of
Signature of Notary Public iii.a/uLAN. t:„,4,31,:a,A,
o1,,prn%eL SHERRI L EMAHISf Florida ,Personally Known OR [ ] Pro uced Ide i ification
+ Notary Public-State of F
Commission#GG 272546 Type of Identification:
9orn My Comm.Expires May 31,2020
Bonded through National Notary Assn. Updated 10/9/18