2277 Seminole Rd (vault) BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, Il, III, and IV.
I• 2Z-7-7K �
LOCATION Street Address:
OF Intersecting Streets: Between And
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants .
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors `�
Contractor (Print) ���♦� Master M,�'/'�tR,,— G�/
Name of
Property Owner L
Signature of Owner Cd Signature of
or Authorised Agent Architect or Engineer
III. GENERAL IN :ON
A' Type of heating fuel: e'
IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS THIS BUILDING OR SITE? 'y
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE HUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) Residential or ❑ Commercial
X— Heat ❑ Space ❑ Recessed X, Control O Roo► ❑ New Building
Air Conditioning: ❑ Room 9 Central Existing Building
--
❑ Duct System: Meferwl Thickness Replacement of existing system
❑ New installation(No system previously installed)
Maximum capacity c.f.m.
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other — Specify
❑ Cooling tower: Capacity 9•p-ns.
❑ Fire sprinklers: Number of head•
❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps- (number) (Bocei-d)
❑ Tanks_ (number) Remarks
❑ LPG contains r• (number)
❑ Unfired pressure vessel
Permit Approved by Dete
❑ Boilers
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity A :ovias
Number Unite Description Model Number Manufacturer (TOW
DATING • FURNACES, BOILERS, FIREPLACES Capacity App>toliftnj
Number Units Description Yodel Number Manufactures (BTU) AgMq
TANKS
Now Many Nominal Capacity Type Liquid Name at Serial Approving
and Dimensions Contained Manutactism No. Agency
t
DEPARTMENT OF BUILDING 9447
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO...
PERMIT TO BUILD 10900 j
PnIII nncicT
THIS PERMIT MUST BE POSTED ON JOB 3900 1 R I/21/0.
Date January 21 19 88 9447 •00CAC..
3900 IA I /?I/8
Valuation$_ Fee$ 20.00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that Ocean State lleat/Air
Ihas permission to �X instill rlacemnet��•�*gym
Classification
Residential Zone
Owned by Dennis Dat*es
Lot Block S/D
House No. 2277-K Seminole Road
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
= AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
-� ri O Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
= up and hauled away by e' e; c
tractor or owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
Ij ELECTRICAL
SEWER
WATER
i,