763 ATLANTIC BLVD MECH20-0016 M,EQHZo-001
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email Building-Dept@coab.us PERMIT#1-LVi1M
JOB ADDRESS: 1(�JA ' 1e "54-9 PROJECT VALUE $I
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 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 ) 0
fI 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 (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: vva2Q &i-tco - Phone Number: c-V1-9,1 Ct
Mechanical Company: /% "1�2 />)e 1-f-N'4l4 Office Phone: 50-f'1,°_ Fax
Co. Address: c 1 iL >✓��A City: ssiv State: Zip: -,_A7
License Holder: jr,?n Holder C a-14 iii tate Certification/Registration# (?)1605---7L?�1"
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Notarized Signature of License ��3Y
#t—S
The foreg 'ng strument trvas acknowledged before me this' day a A I , t e State of Florida,
County of V V
Signature of Notary Publi • v
•S',PYP TONI GINDLESPERGER ,
..u.. MY COMMISSION#GG 353178 Personally Known OR [ ] Produced Identification
EXPIRES:Cctober6,2023 ype of Identification:
".f:iy,°."••` Bonded Thru Notary Public Underwriters
Updated 10/9/18