1894 Atlantic Beach GSRS24-0065 App/Permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
n PERMIT GSRS24-0065
ISSUED: 8/9/2024
CITY OF ATLANTIC BEACH EXPIRES: 2/5/2025
INSPECTIONMUST CALL • r • FOR NEXT DAY INSPECTION.
CODE, AND CITY OF • • OF
ALL CONDITIONS OF
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1894 ATLANTIC BEACH MECHANICAL RESIDENTIAL GAS GAS PIPING FOR $1200.00
GENERATOR
TYPE OF BUILDING
CONSTRUCTION: NUMBER: GROUP:
169505 1585 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: rr •
Hunter Gas 4770 Sandy Run Ln Jacksonville FI 32224
• ADDRESS:
CLARKSON JOHN 1894 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
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.
LIST OF . r
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
MECHANICAL BASE FEE 455-0000-32210 0 $5500
STATE DBPRSURCHARGE 455-0000-208-07M 0 $200
STATE DCA SURCHARGE 455-0000-2080600 0 $2.00
TOTAL:$69.00
Issued Date:8/9/2024 1 of 2
Mechanical Permit #Application "ALL INFORMATION
PP HIGHLIGHTED IN
m City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Road, Atlantic Beach, FL 32233 / l d0G
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: CSPS Z4—
JOB ADDRESS:��r1�T'�'1.+nY.L (�Q ct-t/1 �f " PROJECT VALUE$
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
o Air Handling Equipment Only o Condenser Only o Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tonsper Unit
Heat: Unit Quantity BTUs per Unit Seer Rating(REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
o Air Handling Equipment Only o Condenser Only o 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
El FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 1 set of digital plans)
Fire Standpipe Quantity (Requires 1 set of digital plans)
Underground Fire Main Value (Requires 1 set of digital plans)
Fire Hose Cabinets Quantity (Requires 1 set of digital plans)
Commercial Hoods Quantity (Requires 1 set of digital plans)
Fire Suppression Systems Quantity (Requires 1 set of digital plans)
F-]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
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:, LnA ILrkc tcso Phone Number: Y�-�t q4z 7LL\r
Mechanical Company: Office Phone: Fax
Co. Address: ��7t7 Sine �.,nc City:�:,k G.....\lC State:4—Zip: 17721
License Holder: State Certificlition/Registration# 2 L7
Notarised Signature of License Holder n
The foregoi trument as acknowledged be m me this / day o 2 n the State of Florida,
County of TT
Signature of Notary Public
w.c.
µ• `: TONT GINDLESPERGER r50ndlly Known OR[ ]Produced Identification
MYCOMMISSION#HH<0]122 Type of ldenHRcati00:
EXPIRES:OGo1xr 6,2027 upJotetll0/If/23