426 AQUATIC DR ACRS21-0268 Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
(--,� i
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 /
' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: (AC— 1-bz6e-
JOB ADDRESS: l :'" (i f) OV IC '–_ PROJECT VALUE $ 4200 SLC--______
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ 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)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity / Tons per Unit ..--
Heat: Unit Quantity / BTU's Per Unit ? t .r1Cl.D Seer Rating (REQUIRED) i • v
Duct Systems: Total CFM Zt( ,oCC 67t)
I (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)
AFIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
fOTHER:
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 constructiontror the performance of construction.
Owner Name: meR_ V c$i i,70 (1 ±C/ Phone Number:
Mechanical Company: e06 (c 4--, c_04-/-e.-- e--6.-_,/J (� I/J .-L Office Phone: 7 f • 201 \ Fax
Co.Address: —c C) H/1 wO(?•07-i- I'T(ks---- City: X State:,/C___ Zip: ' ? IL
License Holder: Ki (Ji r4.,2r) iD 'f p - State Certification/Registration# r CC 2 Z y S
Notarized Signature of License Holder '� 1
The foregoin strument as acknowledged before me thi •say • _ al : ' in the State Florida,
County of_ f ca.�� _ w
Signature of Notary Public
°^F"'°4,;; TONIGINDLESPERGER i [ ] Personally Known OR [ ] Produced Identification
'•lMY COMMISSION#GG 353178 Type of Identification: ,
E*;n�:�`••' EXPIRES:October 6,2023
soF,F`q" Bonded Thai Notary Public Underwriters Updated 10/9/18