185 Jackson Rd ACRS18-0336 HVAC Submittal MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 kL(L$17 —d 3 3,0
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JOB ADDRESS: 16 dock-con -Via rabic) 0)e.ct ch 1 322-39 PERMIT#
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PROJECT VALUES 3(vq-i • O c ARI# _ rici5 i 13 REQUI D
Air Handling Equipment Only /Air Handling Unit & Condenser Con eraser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Ratin:
Duct Systems: Total CFM REQ IRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATIO
Air Conditioning: Unit Quantity I Tons Per Unit 'Z.5
Heat: Unit Quantity I BTU's Per Unit -21q CO Seer Rating I •
Duct Systems: Total CFM REQ RED
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 MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger •
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: NvAC Chan ge cv--\-- C-Is2040301 p+rQvi--31314
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby Iffy 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 wit 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 f construction.
Property Owners Name Rt c3 try. Lul tt S Phone Number (4°11 L4 I° 24 tc q
Mechanical Company €...1i 1t. At_ t-t-C. Office Phone S-a 41611 F
Co. Address: 535 35 '4 nneO.dCwS l?-a•, S'A c 5a City ,jaC k^SC°vi Ile State Zip 3225ie
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License Holder(Print): :';'(G�1<4/'` V t'a 1 f State Certification/Registration#
Notarized Signat>lre o f License Holder 7 tit e.t 4 ,,� cC�^-�4-
.�^� MARISOL RAMIRdiefore me this �� day of t. 0 1,� `
MV COMlvi15S1C?lt<FF9 Notary by-� / 742/1/: f A14/1 ��,
�.. �rature of Pu�u�n�a�!! X l• r t
^0f... EXPIRE5 January 3t.
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