2211 Alicia Ln GSRS22-0059 fireplace, 2 water heaters, 7 outlets permitOWNER:ADDRESS:CITY:STATE:ZIP:
PARAGRAPH FIVE TRUST ET
AL 2211 ALICIA LN ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
All Scale Plumbing 4320 Deerwood PKWY STE 101-117 Jacksonville Fl 32216
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169519 0745 TIFFANY BY THE SEA
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2211 ALICIA LN MECHANICAL RESIDENTIAL GAS
7 gas-piping outlet, gas
fireplace, 2 gas water
heaters
$6000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 7 $16.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
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: 8/23/2022
PERMIT NUMBER
GSRS22-0059
ISSUED: 8/23/2022
EXPIRES: 2/19/2023
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 2 $10.00
TOTAL: $115.00
2 of 2Issued Date: 8/23/2022
PERMIT NUMBER
GSRS22-0059
ISSUED: 8/23/2022
EXPIRES: 2/19/2023
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED IN
4*. City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 SC- S j
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: /eE.C4D.Z2,-dod
JOB ADDRESS: 22-1 1 11-0C.,114- l.-A)1 PROJECT VALUE $ CSOA 09
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only 0 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
DREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only 0 Condenser Only In 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 MISCELLANEOUS:
Prefabricated Fireplace (Qty) 1• Automobile Lifts
Gas Piping Outlets I Boilers BTUs
Elevators/Escalators
UALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 0 7 Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
L
OTHER: I RAN G-E I FIR4PIT 6 7 70.r'
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: PAA -P' I rc TI JS T el- A-L Phone Number: 490'S3S- 9$2
Mechanical Company: ac.-44,•C Pu/A115/k)6 uC Office Phone: 4'4y 233 230 1 Fax
Co.Address: /Sly k)if-!T 0Ce. 4V6 City: It-K- State:iFt • Zip: 322-1/
License Holder: /V I C4 GAtate Certifica - -egistration# G 'e 11/2.9 377
Notarized Signature of License Holder
The foregoing instrument was acknowledged before :
411°11 -
day of K\V ,20—in the State of Florida,
County of no.utt
Signature of Notary Public )(
i.O.' ,
AtYJENNICOMMER
IH 057579 Personally Known OR ]( roduced Identification
i- -:a= EXPIRES:October 27,2024 Type of Identification: F( 6
ApF r°P Bonded TTw Notary Pubic Undermriters Updated 10/9/18