1330 Ocean Boulevard ACRS19-0122 App F_________
1
, ,, Mechanical Permit Application **ALL INFORMATION
x.' ' - ''- HIGHLIGHTED IN
/�' City of Atlantic Beach Building Department GRAY IS REQUIRED.
`'''' . 800 Seminole Rd, Atlantic Beach, FL 32233 O _)c /
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT ti: L��S (C1...�) (? 2
JOB ADDRESS: 1330 OCEAN BLVD PROJECT VALUE $3.000.00
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only El 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
(1REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑Air Handling Equipment Only 0 Condenser Only 0 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 (MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
HALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#I Vented Wall Furnaces Refrigerator Condenser BTUs
II Water Heaters Solar Collection Systems
Tanks (gallons)
Wells _
el OTHER: INSTALLED NEW DUCTWORK
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: ROBERT EBENER Phone Number:
Mechanical Company: FLORIDA AIR SERVICE&ENGINEERING Office Phone: (904)823-9696 Fax(9o4)823-9995
Co.Address: 150 HILDEN ROAD#308 City: PONTE VEDRA State: FL Zip: 32081
License Holder: JOHN H. SASSER ( State Certification/Registration I# CAC051487
Notarized Signature of License Holder ,,r'/ k �..-\ _
The foregoing igstrurr}pnt was acknowledged before me this Ir) thy o'� t , 206�.tka-:of Florida,
County of .L—t SC p `1.0>
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Sign ure of Notary Public / 4 1--:"', _ . ,'b'
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Personally Known CR( J P:�'1 ' ./ ific,�i � '
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Type of Identification: ti/:'J .,,:,.,:\ t%
11 � t Updated 10/9/18