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44 DEWEES AVE GSRS21-0100 MECHANICAL RESIDENTIAL GAS PERMIT NUMBER PERMIT GSRS21-0100 ISSUED: 10/12/2021 ,,,; , CITY OF ATLANTIC BEACH EXPIRES: 4/10/2022 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 - ONR FIRE 44 DEWEES AVE #U MECHANICAL RESIDENTIAL GAS PLACE,ONE WATER HEATER $2700.00 & 2 OUTLETS TYPE OF € REAL ESTATEZONING: ! BUILDING USE I• SUBDIVISION: CONSTRUCTION: NUMBER: I GROUP: 169550 0000 OCEAN GROVE UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: Hunter Gas 4770 Sandy Run Ln Jacksonville Fl 32224 OWNER: ADDRESS: j CITY: STATE: r ZIP: SLATER THOMAS F 44 DEWEES AVE 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. 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 455-0000-3224000 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 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 10/12/2021 1 of 2 Mechanical Permit Application **ALLINFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 E P\Z(-00( C Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 44 Dewees Ave. PROJECT VALUE $2700.00 5RS Zi-C)(0 ❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser Air Conditioning: Unit Quantity Tons per Unit Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED) Duct Systems: Total CFM DREPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) ❑Air Handling Equipment Only ❑ 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 ['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) DFIRE PLACES ED MISCELLANEOUS: Prefabricated Fireplace (Qty)1 Automobile Lifts Gas Piping Outlets Boilers BTUs Elevators/Escalators ❑ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets 2 Pumps #Vented Wall Furnaces Refrigerator Condenser BTUs #Water Heaters 1 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:Thomas Slater Phone Number: 9044026969 Mechanical Company: Hunter Gas Office Phone: 9043862172 Fax Co. Address: 4770 Sandy Run Lane N. City: Jacksonville State: FL Zip: 32224 License Holder: Ryan Rodriguez :•' ' 'on/Registration# 31206 Notarized Signature of License Holder _ �/ A . 1 The forego nstrument __ . J as acknowledge. .ef a me this _ . OIC 202' in the State of Florida, County of (3VC�� � � ,�,� Signature of Notary Public frill, (—) . ,s,„ r1 "�Yp�b,;.• TONI GINDLESPERGER �a, ',_ MY COMMISSION#GG 353178 JAPersonally Known OR [ ] Produced Identification •.I ��`� j EXPIRES:October 6,2023 v� �.1•-; �: ..��s� Type of Identification: e ?i "".FF,`6 Bonded Thru Notary Public Underwriters Y Updated 10/9/18