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307 4th St ACRS21-0022 App �� Mechanical Permit Application **ALL INFORMATION j z^j1'%, Application HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 IOU 2 ) -00 2.Z Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RES Z O " OO lF JOB ADDRESS: 301 .1-th S•h'L C+ Atlantic, B ch,FL3Z233 PROJECT VALUE $ I CI r OO D 0 / [ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(RE IRED) 2° 5Sf3ti149/c2S?I? Air Handling Equipment Only 0 Condenser Only Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit 5544.2-)c:,, Heat: Unit Quantity BTUs per Unit c,p,00o Seer Rating (REQUIRED) It Duct Systems: Total CFM I cicp-t a`1,o0a 135 DREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ©Air Handling Equipment Only 0 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 EI 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 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: I'V 11 I I a m Divi c4 F I c-t&h tr Phone Number: Mechanical Company: 7-61,110r- Q f.-a--1 yc raft on-i- A IC Office Phone:clO4g 2933 Fax Co. Address: Po box i21- 0 J City:St•i\--" t S h n c State:FL_ Zi p:3 20&S License Holder: 1N O Cit. 14 -j I t C 1 State Certification/Registration# CA C.O S 7 g• 90 Notarized Signature of License Holder I The foregoing.instrument was acknowledged before me thisgaI day on LUQ , 20 al, in the State of Florida, County of . ,s6r►15C61�`a- 1 �/ Signature of Notary Public f Notary Public State of Florida • • Chelsea Lewis [personally Known OR [ ] Produced Identification My Commission GG 951290 a Expires 02102/2024 Type of Identification: ID Updated 10/9/18