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1841 ATLANTIC BEACH DR GSRS25-0032 Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: BRZEZICKI GRZEGORZ 1841 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: Hunter Gas 4770 Sandy Run Lane North Jacksonville Fl 32224 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169505 1535 ATLANTIC BEACH COUNTRY CLUB UNIT 02 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1841 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS GAS PIPING - 1 OUTLET - SPA HEATER $1400.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT GAS PIPING OUTLETS 455-0000-322-1000 1 $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: 4/29/2025 PERMIT NUMBER GSRS25-0032 ISSUED: 4/29/2025 EXPIRES: 10/26/2025 MECHANICAL RESIDENTIAL GAS PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 2 of 2Issued Date: 4/29/2025 PERMIT NUMBER GSRS25-0032 ISSUED: 4/29/2025 EXPIRES: 10/26/2025 MECHANICAL RESIDENTIAL GAS PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD SIGNATURE OF CONTRACTOR Mechanical Permit Application 02.25.2025 PRINT OR TYPE NAME OF CONTRACTOR DATE MECHANICAL PERMIT APPLICATION City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904)247-5826 Email: Building-Dept@coab.us JOB ADDRESS PROJECT VALUE $ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) Air Handling Equipment Only Condenser Only Air Handling Unit & Condenser Air Conditioning: Heat: Duct Systems: Unit Quantity Unit Quantity Total CFM Tons per Unit BTU's per Unit Seer Rating (REQUIRED) REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED) Air Handling Equipment Only Air Conditioning: Unit Quantity Condenser Only Air Handling Unit & Condenser Tons per Unit Heat: Duct Systems: Unit Quantity Total CFM BTU's per Unit Seer Rating (REQUIRED) FIRE PREVENTION Fire Sprinkler System Fire Standpipe Underground Fire Main Fire Hose Cabinets Commercial Hoods Fire Suppression Systems Quantity Quantity Value Quantity Quantity Quantity (Requires 1 set of digital plans) (Requires 1 set of digital plans) (Requires 1 set of digital plans) (Requires 1 set of digital plans) (Requires 1 set of digital plans) (Requires 1 set of digital plans) ALL OTHER GAS PIPING Quantity of Outlets # Vented Wall Furnaces MISCELLANEOUS Generator Gas Tanks # Water Heaters Pre-fabricated Fireplace Fireplace Other: Solar Collection Systems NOTICE: Permit becomes expired if work does not commence within a six month period or work is suspended or abandoned for six months. 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. PROPERTY OWNER Name Phone MECHANICAL COMPANY Name Phone Address City State Zip License Holder State Certification # Email "In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of perjury, I declare that I have read and examined the foregoing application and that the facts stated in it are true and correct." FOR INTERNAL OFFICE USE ONLY PERMIT # **ALL information required to process 1841 Atlantic Beach Dr. 1400.00 1 Spa heater Grzegorz Brzezick Hunter Gas 2162589341 9043862172 4770 sandy run lane n. Jacksonville Fl.32224 Ryan Rodriguez Lq-31206 Ryan@huntergas.com 04/27/2025Ryan Rodriguez GSRS25-0032