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2217 Alicia Ln GSRS24-0071 application ' "ALL INFORMATION Mechanical Permit Application HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Road, Atlantic Beach, FL 32233 rrtt77ccr7 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOBADDRESS: ) -,aul ,r i c. Long- PROJECT VALUE$ ❑NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI p(REQUIRED) ❑ Air Handling Equipment Only ❑ Condenser Only ❑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 N(REQUIRED) ❑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 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) ❑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 N Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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. q Owner Name: 1�t h l-, 4;(- NIKS t-�o fl iAu �r Phone Number: ft2H , Mj 7R7A Mechanical Company: ter Office Phone: qctt3"R�,rrAj)�— Fax Co.Address: t City: SZ1,!-LSM • LLQ State:FZip: License Holder: a Certi caio ration# L© 2t 2 ca. Notarized Signature of License Holder The foregoirrlIgg�my�fume t was acknowledged befgfe a this day,.pf 20 Z the State of Florida, County of U 8,7� Signature of Notary Public LNIAYUANICHOLS t [ ) Personally Known OR[ Produced I entiFlcation 1fYCOMMISSION 0 HH 716085 RE ? a �S.p,k,,,,,ya• Type of "�:t&;n,,.•' � Updated30/21/T3 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER s, PERMIT GSRS24-0071 ISSUED: 8/28/2024 V CITY OF ATLANTIC BEACH EXPIRES: 2/24/2025 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONr OF • • r • BUILDING CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF r 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. • • • • • • r • OF • • 2217 ALICIA LN MECHANICAL RESIDENTIAL GAS 2Outlets $4000.00 ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE CONSTRUCTION: NUMBER: GROUP: 169519 0760 TIFFANY BY THE SEA COMPANY: ADDRESS: Hunter Gas 4770 Sandy Run Ln Jacksonville FI 32224 • ADDRESS: MASHOD SIAMAC 2217 ALICIA LN ATLANTIC BEACH FL 32233-5975 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 CONDITIONS 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 45500003221000 2 $1000 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPRSURCHARGE 455-0000208-07M 0 $2.00 STATE DCA SURCHARGE 455-0000206-0600 0 $200 TOTAL:$69.00 Issued Date:8/28/2024 1 of 2