533 Atlantic Beach Ct GSRS19-0063 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS19-0063
ISSUED: 7/26/2019
CITY OF ATLANTIC BEACH EXPIRES: 1/22/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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:
GAS PIPING - 2 WATER
533 ATLANTIC BEACH CT MECHANICAL RESIDENTIAL GAS HEATERS, ONE FIREPLACE, 6 $2000.00
OUTLETS, &
TYPE OF
CONSTRUCTION-:- GROUP:
169505 1420 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS:
TUBE WORKS 9652 CHUTNEY CT JACKSONVILLE FL 32205
• ®
ADDRESS:
ROICK JAMES A 2228 OCEANWALK DR W 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 • •
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 4S5-0000-322-1000 6 $14.00
MECHANICAL BASE FEE 4S5-0000-322-1000 0 $5S.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 7/26/2019 1 of 2
Mechanical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Buildin -Det coab.us PERMIT#: kT--gL--5y-
JOB
ADDRESS: PROJECT VALUE $
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(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#(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 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) 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
❑OTHER:
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: C'S 1�C C'� Phone Number:
Mechanical Company: Office Phone:
Co.Address: p', 0, U N City:�7-s 4 State: r—Z Zip:Jt2
License Holder: State Certifi ation/Registration#
Notarized Signature of License Holder 0, 21r
The foregoing in tkurr)P t as acknowledged before me this� 1 of 20 in the State of Florida,
County of Y C
Signature of Notary Public
TONI GIINDLESPERGER r'
MY COMMISSION#FF 924951 Personally Known OR [ ] Produced Identification
EXPIRES:October 6,2019
odIR, Bonded Thn Notary Public Underwriters Type of Identification:
Updated 10/9/18