1021 Atlantic Blvd MGAS20-0001 gas piping permit for Marco's PizzaOWNER:ADDRESS:CITY:STATE:ZIP:
EQUITY ONE ATLANTIC
VILLAGE INC 1600 NE MIAMI GARDENS DR NORTH MIAMI
BEACH FL 33179
COMPANY:ADDRESS:CITY:STATE:ZIP:
Hunter Plumbing 4204 HAMMOND DR WINTER HAVEN FL 33881
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177602 0040 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1021 ATLANTIC BLVD 953-
975
MECHANICAL COMMERCIAL
GAS DETAILS PER BUILDING
PLANS
GAS PIPING - ONE OUTLET $500.00
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
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: 12/7/2020
PERMIT NUMBER
MGAS20-0001
ISSUED: 12/7/2020
EXPIRES: 6/5/2021
MECHANICAL COMMERCIAL GAS
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
TOTAL: $69.00
2 of 2Issued Date: 12/7/2020
PERMIT NUMBER
MGAS20-0001
ISSUED: 12/7/2020
EXPIRES: 6/5/2021
MECHANICAL COMMERCIAL GAS
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
Mechanical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 n/ RR Szo _ Coo
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:eo y 20-00)C
JOB ADDRESS: 1021 ATLANTIC BLVD, CITY OF ATLANTIC BEACH PROJECT VALUE $500.00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only U 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)
0 Air Handling Equipment Only El Condenser Only 0 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
flFIRE 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 ElMISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
1 TALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 1 Pumps
Vented Wall Furnaces — Refrigerator Condenser BTUs
It Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
UOTHER:
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:WILLIAM LERCH Phone Number: (863)287-4569
Mechanical Company: HUNTER PLUMBING INC. Office Phone: (863)325-9103 Fax
Co. Address: 4204 HAMMOND DR STE#3 City: WINTER HAVEN State: FL Zip: 33881
License Holder: WILLIAM LERCH 441107/00.
ti
State Certification/Registration # 1121483
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this 6-4 h day of i`),L;.,202c in the State of Florida,
County of P Di_k O
f,
Signature of Notary Public 0 J...,,, Lf de„..„),..,
r
DEBRA A CARSON
f.!AL, ;R; MY COMMISSION#GG 359374 [
ersona lly Known OR [ ] Produced Identification
o; EXPIRES:November 18,2023
4 di-97:•' Booded Thal PuNic Uadenvnters Type of Identification:
Updated 10/9/18
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $69.00
MGAS20-0001 Address: 1021 ATLANTIC BLVD 953-975 APN: 177602 0040 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
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: R14299 $69.00
Printed: Monday, December 7, 2020 12:24 PM
Date Paid: Monday, December 07, 2020
Paid By: Debra Carson
Pay Method: CREDIT CARD 401720349
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14299
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PRGJpCT NUMBER 20710
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