298 13th Street GSRS20-0067 Mechanical Permit Application **ALL INFORMATION
s `iiih,_ HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
"4-)74w-r, 800 Seminole Rd, Atlantic Beach, FL 32233
-0.11:)„.v/ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: G JI\s ZO -OO
JOB ADDRESS: ?V /, / ' PROJECT VALUEI J--d, (IPJ
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ 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
I-I REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
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 I. I 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
I IOTHER: ,'y/ /t C .�
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 co struction or the performance of construction.
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Owner Name: / 6-6._ Phone Number:
Mechanical Company: V 9.e tZ)o e S ,i Office Phone Y-&? „3?.?7 Fax 7f/-if
Co. Address: r(, ed x 2-7/4 / City: Ji4-j '. StateZip:j ?j
License Holder: ne A_ (.12.s.,1/ 1 State Certification/Registration# Off' '/y
Notarized Signature of License Holder �l 4 „ f
/
The foregoi strument as acknowledged before me this .. o) ,2fth State of Florida,
County of L) C�
Signature of Notary Public 0� ,_- _9._"
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Personally Known OR [ ] Produced Identification
iN`.Y:"i! TONI(:1NDL"E PERGER
' ?'•. Type of Identification:
a ;_. MY COMM15S1.1 GG 353178
:--%;,••' ,,,•:c71� EXPIRES:%: .ger 6,2023 Updated l0/9/18
•fi•"•° °`• horded Nu N•.;sry;';:aiC Underwriters t a
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