2343 Beachcomber Tr ACRS19-0219 App Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
fGRAYCity of Atlantic Beach Building Department
IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �CA S \() —CI iq
Phone: (904) 247-5826 Email: Building-Deft@coab.us PERMITtt:
JOB ADDRESS: 2343 BEACHCOMBER TRAIL ATLANTIC BEACH,FL 32233 PROJECT VALUE$7,500.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only D Condenser Only 0 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 0 Condenser Only In Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 5.S Tons per Unit i
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED) (C
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 7 MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
'TALL 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:DIANE ADAMEC Phone Number: (904)742-2953
Mechanical Company: ESTES HEATING&A/C INC Office Phone: (904)241-6727 Fax(904)241-3482
Co.Address:.1954 SOUTHSIDE BLVD City: JACKSONVILLE State: fl Zip: 32216
License Holder: DAVID WAYNE ESTES /'-' State Certification/Registration# CAC056641
Notarized Signature of License Holder x fj/i1&_ � `-� —
�
The foregoing instrument was acknowledged before me this ate day of ^S‘enC , 20 i 5, in the State of Florida,
County of .t�a-cP .—W
Signature of Notary Public --W—4-e--4-----
I :, ;�a,,,,, usARENEE MEDLIN
• .�: Notary Public-5 ie of Florida Personally Known OR [ ] Produced Identification
i Commission■GG:87910
4
Type of Identification:
..x:,! My Comm.National
Feb 20.2022 M Updated 10/9/18
Bonded through National Notary Assn