1849 BEACHSIDE CT ACRS21-0271tsLtr,, Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233
f 7Jiv- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:4+ 12 _/f ..O2
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JOB ADDRESS: Ash,/ L. PROJECT VALUE$ 4
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only 0 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) 940 6/
0p
2
Air Handling Equipment Only 0 Condenser Only X Air Handling Unit& Condenser
Air Conditioning: Unit Quantity /Tons per Unit x
Heat: Unit Quantity / BTU's Per Unit sly&6O Seer Rating(REQUIRED) /7 B
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
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
1OTHER:
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: qr A . ,3 Phone Number: fit/-3'a7. ictz.
Mechanical Company: del? 146/-04//..-- Office Phone: f0(1-372-0:57 9 Fax
Co. Address: 26% ar',"-skti free)City: 6a2-2.-soState: . —Zip: ,3
License Holder:L I.t 1 e / _ State Certification/Registration# L" /g/o 739
Notarized Signature of License Holder fie
The foregoin i rument w s acknowledged before me this d— I 14, ,!in th- State of Florida,
County of f'c.,,
Signature of Notary P . is a-- e
tnn!{Pyc: TON(GINDLESPERGER ,r personally Known OR [ ] Produced Identification
it ';,_ MY COMMISSION#GG 353178 •X'
r %'v.P EXPIRES:October 6,2023 Type of Identification:
f:`,'/ Bonded Thru Notary Public Underwriters Updated 10/9/18
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