2316 Beachcomber Tr ACRS19-0178 App Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
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GRAY IS REQUIRED.
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233 Q /q�
Phone: (904) 247-5826 Email: Buildin. -Dent(iin coab.us PERMIT#: AC�J� 0
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JOB ADDRESS: 2316 Beachcomber Trail Atlantic Beach, Florida 32233 PROJECT VALUE $9,373.20
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
❑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
❑✓ REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only ID Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 1 Tons per Unit 3.0
Heat: Unit Quantity 1 BTU's Per Unit 36 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 J MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
EALL 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:Chris Adamec _ — Phone Number: (904)477-8139
Mechanical Company: EstesHeat&A/C Inc. - — Office Phone: (904)241-6727 Fax(904)241-3482
Co.Address: 1954 Southside Blvd City: Jacksonville State: FI
Zip: 32216
License Holder: David Wayne Estes State Certification/Registration# CAC056641
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Notarized Signature of License Holder ____/47----1171-1—`i _— _ ---
The foregoinginstrument was acknowledged before me this * Qay of Q"&c1 ,20 k9, in the State of Florida,
County of al V ��^
Signature of Notary Public _
�-�E: USA RENEE MED V personally Known OR [ ] Produced Identification
ra ,ai,- Netary Public-State of Florida T
,�_c Commission x GG 187910 Type of Identification:
-` my Comm.Expires Feb 20.2022
Bonded through National Notary Assn, Updated 10/9/18
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