It won't be easy... Acrobat is not a vector drawing editor, so you will have to work on the elements that make up the objects you want to re-arrange.
With Adobe Acrobat DC Pro, you can find the the content edit tools under Tools>Edit PDF>Edit
Once the tool is selected, you will have to select the individual elements and then move them as one group.
You can also select a larger group, then right-click and e.g. select to edit in Adobe Illustrator (that is, if you have this application installed).
If you can go back to the CAD application that created these blue-prints, that would be the best option.