363 Atlantic Blvd Unit 10 MGAS21-0004 Tank and OutletOWNER:ADDRESS:CITY:STATE:ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32606
COMPANY:ADDRESS:CITY:STATE:ZIP:
D & D Gas, Inc.7709 ALTON AVE JACKSONVILLE FL 32211
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169730 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
363 ATLANTIC BLVD 10
MECHANICAL COMMERCIAL
GAS DETAILS PER BUILDING
PLANS
120 Gal Tank & Outlet: PP
INT BUILDOUT for SERENE
MED. SPA
$395.00
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
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
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: 10/14/2021
PERMIT NUMBER
MGAS21-0004
ISSUED: 10/14/2021
EXPIRES: 4/12/2022
MECHANICAL COMMERCIAL GAS
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
TOTAL: $89.00
2 of 2Issued Date: 10/14/2021
PERMIT NUMBER
MGAS21-0004
ISSUED: 10/14/2021
EXPIRES: 4/12/2022
MECHANICAL COMMERCIAL GAS
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $89.00
MGAS21-0004 Address: 363 ATLANTIC BLVD 10 APN: 169730 0000 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 120 $20.00
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: R17699 $89.00
Printed: Thursday, October 14, 2021 3:06 PM
Date Paid: Thursday, October 14, 2021
Paid By: D & D Gas, Inc.
Pay Method: CREDIT CARD 531749575
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R17699
MGAS21-0004