763 ATLANTIC BLVD -MECH20-0014 MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
r Ph(904) 247-5826 Fax (904) 247-5845 NlCH z - 00 1 4
JOB ADDRESS: ? 6 S /� L M ,ti f, c B J d 01 PERMIT#
PROJECT VALUE $ l `I `` ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW 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 1al Oa REQUIRED
REPLACEMENT 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
Manual J documentation required on residential change out
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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: 0 E,c-d wnr
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 sante 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.
Property Owners Name Pe 4 r
/'�G N A e �-6 Phone Number 1.0Y- 2`1 - /1 S )
� �
Mechanical Company 4 C c# For4 4b [e fr,A,; aP%- Office Phone 9a`/-24-.04ax
Co. Address: L 0 71 f nW Q P S o,l Si, # 3 City q'i State F 1. Zip 3 Z Zc
License Holder(Print): JD'ia9-/i cw Si4A f ti
vi State Certification/Registration# c A G i g i cnb'I
Notarized Signature of License Holder1)--e<A446.--4-,Li -"--
•;� "•. ERICA HUFFMAN u Before me this 2� d f 6t-✓ 20 2. C7
f%.
-"F• Notary Public-State of Florida
3 ")!C Commission*GG 941491
ci;•Orf My Comm.Expires Apr 17,2024 Signature of Notary Publi
Bonded through National Notary Assn.