1021 ATLANTIC BLVD - MGAS20-0001 Mechanical Permit Application "ALL INFORMATION
/.' HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
/ 800 Seminole Rd, Atlantic Beach, FL 32233 n/� RR Szo _ Coo
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:eo y 20-00)C
JOB ADDRESS: 1021 ATLANTIC BLVD, CITY OF ATLANTIC BEACH PROJECT VALUE $500.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only U Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only El Condenser Only 0 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
flFIRE 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 ElMISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
1 TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 1 Pumps
#Vented Wall Furnaces — Refrigerator Condenser BTUs
It Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
UOTHER:
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:WILLIAM LERCH Phone Number: (863)287-4569
Mechanical Company: HUNTER PLUMBING INC. Office Phone: (863)325-9103 Fax
Co. Address: 4204 HAMMOND DR STE#3 - City: WINTER HAVEN State: FL Zip: 33881
License Holder: WILLIAM LERCH
441107/00. ti State Certification/Registration # 1121483
Notarized
Signature of License Holder ,
The foregoing instrument was acknowledged before me this 6-4 h day of i`),L;., , 202c in the State of Florida,
County of P Di_k O f,
Signature of Notary Public 0 J...,,, Lf de„..„),..,
r DEBRA A CARSON
-f.!AL, ;R; MY COMMISSION#GG 359374 [ ersona lly Known OR [ ] Produced Identification
-o; EXPIRES:November 18,2023
--.4 di-97:•' Booded Thal PuNic Uadenvnters
Type of Identification:
Updated 10/9/18