1643 ATLANTIC BEACH DR - GAS PIPING (2) r
�- CITY OF ATLANTIC BEACH
"i ? 800 SEMINOLE ROAD
,� v ATLANTIC BEACH, FL 32233
--01119 INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL GAS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: GSRS17-0028
Description: install 4 gas-piping drops
Estimated Value: 395
Issue Date: 8/31/2017
Expiration Date: 2/27/2018
PROPERTY ADDRESS:
Address: 1643 ATLANTIC BEACH DR
RE Number: 169505 1095
PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address: 250 GIBRALTAR RD
HORSHAM, PA 19044
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CONSTRUCTION SOLUTIONS &
Address: 5225 EDGEWOOD CT SUPPLY 1041 FOX MEADOW TRIJIM
ROMEKA
JACKSONVILLE, FL 32254
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
29-Aug-2017 10:41 From Christina Cotromano p•1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beal:1), FI, 32233
Ph OW) 2.47-5826 Fax ( 04) 20-5845 ,
. -
Jon ADDRESS: 1 (out 3 ak-1,a ni-kc 1 13-efAcri
• 1-D1 kit: PERM IT #
'
36716-"R
PROJECT VALLE $ , _ ARI IIREIJUIRED
Condenser Only
Air Handling Equipment Only Air Handling Unit & Condenser
_........
NEW MR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity _ Tons Per Unit ____ .....
Heat: Unit Quantity _ BTUs Per Unit ____ .... Seer Rating
Duct Systems: Total CFM REQUIRED
.._...._._
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity _. BTU's Per Unit _... Seer Rating
Duct Systems: Total (TM REQUIRED
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 plaits)
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.__ Automobile Lifts _
Gas Piping Outlets ' Boilers _.. _ BTU's
----- ___...........
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets k,.......L. Pumps
# Vented Wall Furnaces Retiigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: INSTALL GAS PIPING 4 DROPS — RANGE, WATER HEATER, 2 FIREPLACE_
. . . . , .
'errnit becomes void i I work CIM,9 no CnitirilVICe Within V Six lomat Nriod or work is su5pendt4l Or abandoned kw siN 111.001115.I heieby ettti6 that I have reid
thii apphotioh and know th4 same to he trite and t;orreot. All provision of lam and OfiiiikltICA2S governing{hitt woit will be aointilied itli wholier ilwi tied or
out. Ilk;permit does notgive 3,U15rlitcyit Lo ''(kite -proviNionN olany odic! ititte or local lint reg,tilidion vonsiruction or till:.perillniumgi:oreoogrvozijoiv
--T
Property Ownerso„,„„„............. P tOrtti 11111bel 904-3V-2700
Mechanical Company CONSTRUCTION SOLUTIONS & SUPPLY I...LC.Offiee Phone 389-2700_Fax
Co. Address: 5225 EDGEWOOD CT City SAX State Fl.. Zip 32254.,
[Accuse Bolder(Print); 4•1!•Ii.,...13 • : ' ROMEK
,‘.; ii1H
rk
State Ce ificationiRegistration it 26657
, ..
... .. ,." .....a..---•—•.................... e..--•
Notarized Signature of AttOkiihdrIE. ' is. -.. . .„....-.. ,4---
....-.
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