Fillable FORM NO. BI 54 Rev. 8/19: Application for (City of Virginia Beach)

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FORM NO. BI 54 Rev. 8/19: Application for (City of Virginia Beach)

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FORM NO. BI 54 Rev. 8/19
Application for Mechanical Permit
CITY OF VIRGINIA BEACH ∙ PERMITS AND INSPECTIONS
2875 Sabre Street, Suite 500 ∙ Virginia Beach, VA 23452 ∙ (757) 385-8065
FAX (757) 385-5777 ∙ www.vbgov.com/buildingpermits
Date: ___________________ Associated Permit #: ______________________
A permit is hereby requested for the following construction at:
Street Address: _________________________________________________________ Lot #/Suite #: _______________________
GPIN: ____________________________________________________________________________________________________
Owner/Occupant Name: ________________________________________________ Owner Phone #: _______________________
Email Address: _________________________________________________________ Cell Phone #: _______________________
Contractor
Compa
ny Name: _____________________________________________ State Registration #: ____________________________
Residential
Commercial
Additional Information:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Master Tradesman/Owner Name (Please Print): _________________________ Master Tradesman/Owner Signature: ______________________
I understand this permit is granted only for the work shown and described in this application.
Any falsification, misrepresentation, or misleading information given VOIDS this permit.
Plan Approval: ____________________________________________ FOG Permit: _________________________________________________
Contract Value: $
Building Type: New Addition Existing Moved
Residential Commercial
Equipment: New Replacement Conversion Relocate
* requires grease trap/FOG Compliance permit to issue ** requires Health Dept. well permit
Each
Air Conditioning
Air Handler
Air to Air Heat Pump
Apollo System
Base Board Heat
Bath Exhaust/CFM
Chimney Liner
Condenser
Dryer
Duct Work
Electric Boiler
Electric Furnace
Each
Electric Pool Heater
Electric Wall Heater
Electric Water Heater
Gas Boiler
Gas Fireplace
Gas Furnace
Gas Lamp
Gas Logs
Gas Pack
Gas Pool Heater
Gas Water Heater
Hot Tub Heater
Each
Humidifier
Hydro Heat System
Kiln
Oil Furnace
Prefab Fireplace
Range
Space Heater
Ventilation System
Water to Air Heat Pump **
Woodstove
Each
Air Handler
Air to Air Heat Pump
Apollo System
Base Board Heat
Bath Exhaust
Broiler *
Bun Warmer
Cheese Melter *
Chimney Liner
Condenser
Cooling Tower
Dryer
Duct Work
Electric Boiler
Electric Furnace
Electric Pool Heater
Electric Wall Heater
Each
Electric Water Heater
Fire Damper
Fryer *
Gas Boiler
Gas Fireplace
Gas Furnace
Gas Lamp
Gas Logs
Gas Pack
Gas Pool Heater
Gas Water Heater
Grill *
Humidifier
Hydro Heater System
Infared Tube Heaters
Kettle
Oil Boiler
Each
Oil Furnace
Oven
Prefab Fireplace
Range *
Range Hood Type I/II *
Refrigeration Unit
Rice Cooker
Roof Top Unit
Smokehouse *
Space Heater
Steam Table
Ventilation System
Walk-in Freezer
Water to Air Heat Pump
Wok *
Woodstove
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FORM NO. BI 54 Rev. 819: Application for (City of Virginia Beach)

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Completed 4 June 2021

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