1691 Atlantic Beach Dr GSRS22-0031 3 outlets permitOWNER:ADDRESS:CITY:STATE:ZIP:
SHABBY CHIC HOLDINGS
LLC 3948 3rd ST JACKSONVILLE
BEACH FL 32250
COMPANY:ADDRESS:CITY:STATE:ZIP:
Hall's Gas Services, Inc.3165 St Johns Bluff Rd S #8 Jacksonville FL 32246
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1375 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1691 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS SWIMMING POOL $1100.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 3 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $69.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 4/13/2022
PERMIT NUMBER
GSRS22-0031
ISSUED: 4/13/2022
EXPIRES: 10/10/2022
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
2 of 2Issued Date: 4/13/2022
PERMIT NUMBER
GSRS22-0031
ISSUED: 4/13/2022
EXPIRES: 10/10/2022
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t-lisir Mechanical Permit Application ALLINfORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 3223349.10 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: IZ, 1/ /4/4,4c_ -t«/, ,,,,i PROJECT VALUE$ //4o• —
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
D Air Handling Equipment Only Condenser Only 0 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)
0 Air Handling Equipment Only Condenser Only Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating(REQUIRED)
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 n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 3 Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
DOTHER: t -' /,, - 4-- d I7.,X0,,,Is , / /7-7,., ,t-- / 1, - r 4„..,....,-,--
PermitPermit 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: SA4 S—Aef /JvId, -s Phone Number:
Mechanical Company: ilea/:c G.s _w,•,...s, i..4- Office Phone: i'oi/-74, >04 Fax
Co.Address: 3$47 S}. 1'. L s ), La rzi S'it 3 City: TG - State: FC Zip: 33o Y6
License Holder:_Tus.r L: / .//
GJ`-'`
tate Certification/Registration# L 3..27 g
Notarized Signature of License Holder
The foregoing instrument was acknowled before me this I day of k?n ( , 20 2*n the State of Florida,
County of 6..
ignature of Notary Public0 t
4:',.iii. JENNIFER JOHNSTON __
MYCOMMSSION#HH057579 j Personally Known OR [ ] Produced Identification1,..•:4;-' , ; 27,2024 ) pe of Identification:
Updated 10/9/18