1721 Atlantic Beach Dr GSRS20-0008 Water Heater, Fireplace ` � MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
A ' PERMIT GSRS20-0008
t'- 41111V s ISSUED: 3/6/2020
CITY OF ATLANTIC BEACH EXPIRES: 9/2/2020
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.
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 - 4 OUTLETS,
1721 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS WATER HEATER & $2987.00
FIREPLACE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1435 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
PROGASCO, CORP. 7709 ALTON AVE JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: I ZIP:
GREGORY A NELSON 523 SELVA LAKES CIRCLE 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 CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1
I -�
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 3/6/2020 1 of 2
• i''r''''r MECHANICAL RESIDENTIAL GAS PERMIT NUMBER I
4►` GSRS20-0008
1.511, :� PERMIT ISSUED: 3/6/2020
C)- CITY OF ATLANTIC BEACH EXPIRES: 9/2/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 1 $5.00
TOTAL: $104.00
Issued Date: 3/6/2020 2 of 2
**ALL INFORMATION
Mechanical Permit Application HIGHLIGHTED IN
Ali IN7,. GRAY lS.KECtt11RED..
1.t1: 1 ,1 City of Atlantic Beach Building Department
� Irl' tt 800 Seminole Rd, Atlantic Beach, FL 32233 �-1 1-HS Z_O - 000
`''' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
tt ,
,: E .t.3DRE5`�. • �.�e'��s .1Cr�7lf ��/rt'-`j 1,....)r- - PROJECT VALUE $ 2/:.
[..j t,J.'N AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) -
Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
,=‘ r Condit oning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
C . :t Syste ms: Total CFM
[RI PLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
:] Air Handling Equipment Only 0 Condenser Only ❑Air Handling Unit& Condenser
-, r Condit oning: Unit Quantity Tons per Unit
fi.nt: Unit Quantity BTU's Per Unit Seer Rating (REQUIRED)
. .t Systems: Total CFM
DFIRE PREVENTION
Fi'e Sprinkler System Quantity (Requires 3 sets of plans)
Fi-e Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fi-t-' Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Hi-e Suppression Systems Quantity (Requires 3 sets of plans)
[]F 1:E PLACES [MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
GA.:, Piping Outlets Boilers BTUs
Elevators/Escalators
[Mti.i OTHER GAS PIPING , Heat Exchanger
Q. 3ntity cf Outlets Pumps
I. t+erite d 1Vali Furnaces Refrigerator Condenser BTUs
# v"later Heaters __I__ Solar Collection Systems --
Tanks (gallons)
I-Wells �1
_i( I,�ER: —I) 4(1"I vl' ( t. ,/i /i7(' kr CI)lv4dry /lamer, (11l'ur�", (/1)&,0,1e/CF air' N e rd)
111T41111111111 ' '
_rr; b•acomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby
c eri�1 that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this
4 n.vill be ccmplied with whether specified or not. The permit does not give authority to violate the provisions of any other state or
:cal ,uw reguh.tion construction or the performance of construction.
Owr er Name:: Of'-t'' a r,,1',:,e1 1'7 Phone Number:/`/l f � /C4;` 4 �' K
' Office PhoneV'ek.y1 7?/ - 1;I� Fax ?/ -S l?7
';lechanical Company: ����'�+ '
i City: 1 .l c-� �>>.- //.. State: / % Lip 2.)//
o. .scidress: 7 ) '1]—J1- 7).-3.-7-1--1,, '/�6i y / 4
iicelse Holder: °104Lis
f) ;, ,1 M;1'ii) ) State Certification/Registration# f;.1 /y
!dotrn ized Signature of License Holder i -.-
1 J(,� 20 ZQ in the State of Florida,
the foregoin- instrument was acknowledged before me this � day of fa.vL-(`l�� �����
c:o_I. y ofUyn i Signature of Notary Public S,vAht.-G
J.* Notary Public Stale of Ronda [ Personally Known OR [ ] Produced Identification --
�R ; Stephanie Renee McGuire Type of Identification:
My Commission GG 123258 yp Updated 10/9/18
+�aa Expires 0°101/2021
S%-L'JY
r�� Cash Register Receipt Receipt Number
/ City of Atlantic Beach R11921
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $104.00
GSRS20-0008 Address: 1721 ATLANTIC BEACH DR APN: 169505 1435 $104.00
MECHANICAL $100.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00
VENTED WALL FURNACE WATER HEATER
455-0000-322-1000 1 $5.00
UNIT
PREFABRICATED FIREPLACES 455-0000-322-1000 1 $30.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R11921 $104.00
Date Paid: Friday, March 06, 2020
Paid By: PROGASCO, CORP.
Cashier: FJ
Pay Method: CREDIT CARD 3
Printed: Friday, March 06, 2020 10:25 AM 1 of 1
