97 Levy Rd Unit 131 MCAC21-0015 App Mechanical Permit Application **ALL INFORMATION
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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#: MCf1Cz( -001S
JOB ADDRESS: / // 1u 7 A)04-D (4 / I.Bi"j ROOC1 ,I)fl )3j PROJECT VALUE $ /d--; <'
[ANEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR1#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Ok Tons per Unit
Heat: Unit Quantity(21/4:100 BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM ¢300
pi 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) /y
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 1OTHER:
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 regulationconstructionor the performance of construction.
Owner Name: JLc,4,v a p„„,d,-t-) Phone Number: lay/ati?y 30)y
Mechanical Company: 2 /Nr cj c. ,ca ( /.vC Office Phone: 969Sa-YE/ Ov Fax
Co.Address: 11 bytAI /4y u/Q4 W City: AFl,i i, iSeet. State: rZ Zip: 3 22 3'3
License Holder: '-)-tj 4.,v State Certification/Registration# Gi C/)-rd 34 [—
Notarized Signature of License Holder -C:=7
The foregoing instr ment was acknowledge efore me this 20 day of MA NI , 20 7-1, in the State of Florida,
County of IOU Vin L. c -�--
Signature of Notary Public (�/�4/1/74,,- _.`
,':AV CHRISTIAN GILES '
•i'' `fit•:
• MY COMMISSION#HH 117153 • [ ] Personally Known OR [v 'ro�dduced/IIdentification
. ps EXPIR6S:April13,2025 Type of Identification: Ft DL
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Bonded Thru Notary Public llndenwritera
. Updated 10/9/18