1830 SEMINOLE ACRS20-0294 I
Mechanical Permit Application **ALL INFORMATION
• HIGHLIGHTED IN
/I.</ City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 AL�SZC> _ OZ Cl/(
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: /x'36 ik.1(1/)/-t' AO PROJECT VALUE $ 2300
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)
Dut Systems: Total CFM 61,:;y0, 6b --E�
REPL a CEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# QUIRED)3`)12,5",664 S
(s'Air Handling Equipment Only A� ❑ Condenser Only VAir Handling Unit& Condenser
Air Conditioning: Unit Quantity d' Tons per Unit &-4- /
Heat: Unit Quantity BTU's Per Un� /
Seer Rating (REQUIRED) ,.5'
Duct Systems: Total CFM 6'06 L:- .00
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 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 (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: C J2 0 < Nikt.L' Phone Number: 0 r 33q
WO
Mechanical Company: a )h Le 1Z 0ex`-r - IL Office Phone: 90(1 c2) ? / 3 94`ax
Co. Address: ,o 7/ lZ50T 6 T 40 11 City: ;\9- State: FL-Zip: 3:3L)627
License Holder:_igiC RAD- E(-LI State rtifi ati.'. . '. ,! 0 5776 ��
/ ,_ �M
Notarized Signature of License Holder /I /
I 1
The foreg strument as acknowledged before me this a o ,, , 207 r)the State of Florida,
County of 0
Signature of Notary Public _ c- - 1
;a'' v''.; TONI GINOLE3PERGER _
•`.. •.., ; - MY COMMISSION#GG 353178 [ rsonally Known OR [ ] Produced Identification
-p• "' EXPIRES:Cctober6,2023 Type of Identification:
''':f'"g°p` Bonded Thru Notary Public Under*Tfere
Updated 10/9/18