1970 Mipaula Dt. ACRS19-0110 HVAC r-----
4
''''r!� MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0110
ISSUED: 4/9/2019
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rte n- MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
PERMIT ACRS19-0110
/ ISSUED: 4/9/2019
t,;„ CITY OF ATLANTIC BEACH EXPIRES: 10/6/2019
TOTAL:$107.00
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Issued Date:4/9/2019 2 of 2
srs�A. Application Mechanical Permit A nlication **ALL INFORMATION
HIGHLIGHTED IN
r e City of Atlantic Beach Building Department GRAY IS REQUIRED.
K71/0!). 800 Seminole Rd, Atlantic Beach, FL 32233 No-- c� G�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 2s( / '0i(o
JOB ADDRESS: I \10 Ai?..0\Co. L.' PROJECT VALUE$ .q Z1
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) CaPtraitael
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
,/Duct Systems: Total CFM
t REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#'REQUIRED) Zo I lO 60I1(
❑ Air Handling Equipment Only ❑ Condenser Only VAir Handling Unit& Condenser
Air Conditioning: Unit Quantity l Tons per Unit 3
Heat: Unit Quantity t BTU's Per Unit ;410.1s Seer Rating (REQUIRED) i5
Duct Systems: Total CFM '2)L,40.0
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)
I FIRE PLACES MISCELLANEOUS:
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
Il 0TH ER:
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: filo` p Tim CS 06 c Phone Number: 'SO4 -54 -'1232;
Mechanical Company: P% r 1,>sAli> 1 (:&. L CA411`0) Office Phone: 18(4 -(a'0 -(o313 Fax
Co. Address: 11jlto Wcu er City: l'a,ksnnt i((e, State: R, Zip: 32225
License Holder: Ai clAp.rd �i),fQtS o/1 State Certification/Registration# CA LAM(.S b 3
Notarized Signature of License Holder A. . _i, _ _
The foregoin strument as ackno ledged before me this day if i' ,d` , 2(� in the State of Florida,
County of ID 0vc , lik
Signature of Notary Public I -A _ Milk
[ ] Personally Known OR [ ] Produced Identification ,
{q:,„. �4; TONI GINDLESPERGER Type of Identification:
_. MY COMMISSION#FF 924951 Updated 10/9/18
t..--- .k_ EXPIRES:October 6,2019
.4',;g...... Bonded Thru Nctary Public Underwriters