729 Sailfish Dr ACRS19-0136 App t' \, Mechanical Permit Application "ALL INFORMATION
i : .\ HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
'Ai800 Seminole Rd, Atlantic Beach, FL 32233
-`019.- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: l`..CC-SI 11 -O 13b
JOB ADDRESS: `+2C\ �t,v 61 PROJECT VALUE$ 3ry 5d 'O 0 • .
LI NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
O Air Handling Equipment Only 0 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 REPn' �{-
LACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION AR!#(REQUIRED)q 16 Z 3w
❑Air Handling Equipment Only y CI Condenser Only 'Air Handling Unit& Condenser
Air Conditioning: Unit Quantity ( Tons per Unit o2.-
Heat: Unit Quantity BTU's Per Unitael60O Seer Rating(REQUIRED) /2(
Duct Systems: Total CFM
nFIRE 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)
nFIRE PLACES 7MISCELLANEOUS:
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 theerformancee of construction. q l,p
/U
` 1e�x� ( / , ' ,,< r,,,,:,.t.,.. Phone Number: 1Q4_ Y3)- 24
Owner Name: 1�
Mechanical Company: OK 11P0R.i Cu s-YUGiomYOU?Office Phone:4-3 I-32'y& Fax 73) ^ 2-115'
Co.Address: aCID. ORL'Il'a 4C:X1k Yozk City:0 0State: .1'-'L Zip: 3220i-
License Holder: 7\ U 1M14. 1/10 State Certification/Registration#CR C)? 003t
Notarized Signature of License Holder ?-- *'71T"%i7'7"-`F,- Y.' !• *1.,
The foregoing instrument was acknowledged before me this a2.--da , • J 20/1 , in the State of Florida,
County of
STEPHANIE MITCHELL Signature of Notary Public - an Q
7NOTARY PUBLICit(
_STATE OF FLORIDA [ ] Personally Known OR [ ] Produced Identification L.
�; °�,�; Com/60295632 Type of Identification:
Expires 128!2023 Updated 10/9/18
Scanned with CamScanner