351 11th St GSRS21-0117 Gas line for GeneratorOWNER:ADDRESS:CITY:STATE:ZIP:
HOWELL JOHN C 351 11TH ST ATLANTIC BEACH FL 32233-5531
COMPANY:ADDRESS:CITY:STATE:ZIP:
FERRELLGAS L.P.922 9TH STREET S JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170107 0100 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
351 11TH ST MECHANICAL RESIDENTIAL GAS GENERATOR $1370.00
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
SOLAR COLLECTOR SYSTEM 455-0000-322-1000 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
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: 12/3/2021
PERMIT NUMBER
GSRS21-0117
ISSUED: 12/3/2021
EXPIRES: 6/1/2022
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
2 of 2Issued Date: 12/3/2021
PERMIT NUMBER
GSRS21-0117
ISSUED: 12/3/2021
EXPIRES: 6/1/2022
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
GSRS21-0117 Address: 351 11TH ST APN: 170107 0100 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
SOLAR COLLECTOR SYSTEM 455-0000-322-1000 0 $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: R18188 $99.00
Printed: Friday, December 3, 2021 1:16 PM
Date Paid: Friday, December 03, 2021
Paid By: FERRELLGAS L.P.
Pay Method: CREDIT CARD 555021401
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18188
Mechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phonet l9O4) 247 -5826 Email: Buildins-Dept(acoab.us
+*Att INTORMATION
HIGHTIGHTED I!I
GRAY IS REQUIRTD.
PERMITf:
JOBADDRESS: s51 lllh streel PROJECT VALUE S 1,370 oo
[ ruew atn coruortoNtNc & HEATTNG sysrEM tNsrALLATroN ARt # (REeutRED)
E Air Hondlinq Equipment Only
Air Conditioning: Unit Quant'ty _
dcondenset only A Air Hondling Unit & Condenset
Heat:
Duct Systems:
flneptlcerurrurl,tn coNDtnoNtNG & HEATTNG sysrEM tNsrALLATtoN ARt # (REeutRED)
AAt Hdndling Equipment Only Acondenset Only dAir Hdndling Unit & Condenset
Air Conditioning: Unit Quantity _ Tons per ljnit
Heat:Unit Quantity _ BTL,'S Per lJnit
TotalCFM
Seer Rating (REQUIBED)
Unit Quantity _
TOTAICFM
Tons per [Jnit
BTUS per Unit _ Seer Rating (REQU/RED,)
!nn: enrvrr'rtror'r
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
commercialHoods
Fire Suppression Systems
EF|RE PLACES
Prefabricated Fireplace (atVl_
Gas Piping Outlets
nau, oruen els prprrue
Quantity of Outlets
# Vented Wall Furnaces
# Water Healers
Quantity
Quantity
Quantity
Quantity
Quantity
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
EMrscELtANEous:
Automobile Lifts
Boilers BTl.Js
ElevatorvEscalators
Heat Exchanger
Pumps
Ref rigerator Condenser
Solar Collection Systems
lanks (gallons)
Wells
BTUs
Permlt becomes void ifwork does not commence withln a si! mo.th period orwork is suspended o.abandonedfor six months. lherebv
certify that lhave read thisapplicatlon and k.ow the sameto betrue and correct. A iprovisions of aws and ordinances govern nB ihis
workwil becomplled with whether specified or.ot. The permit does not give authortytolio atethe provisions of anyother state or
ocallaw reg!latlon construction or the performance ofconstructio.
Owner Name:Jack Howell
Mechanical Company:
co. Address: $ 10rr srs
Liaense Holder: Michael Johnson
Notdrized Signoturc ol Ucense Holdet
The foregoitg instrument was acknowledged
County o1
Signature of
Phone Number: (so4) s4r2242
offi.F Phone. (407)s53 0336
State Certifi cation/Registration #
lL zip:139
BREN'I L, CAiSON
Not!ry Publlc - !bt. oi Ftorid.
Commisi.n, HH 082193
lry Cmfi, Expner J.n 19, 2OZ!
ot /tn-A.z . zO2- in the State of Florida,
el-P66onally Known OR I lProduced tdentilication
Boined throulh rlrtldal rlotrry A$r l
Type of ldentification:
GSRS21-0117
Building Permit Application
City of Atlantic Beach Buildihg Department
800 Seminole Road, Atlantic Beach,FL32233
Phone: (904) 247-5826 Email: Buildins-Dept@coab.us
**AtL INFORMATION
HIGHIIoHTEO IN GRAY
,S REQUIRED.
Job Addfess 351 11lh SlEel Atlanlic Beach
05.0691&2S.29E ATLANTIC BEACH LOT 26 BLK 14 RE}
valuation ofWork (Replacement Cost) S 137000 Non- Heat€d/cool€d
Classofwork: DNew UAddition lAlteration CRepair DMove UDemo nPool nwindoqDoor
U 5e of existing/proposed str!.ture(s): ECommercial dResidentia
lf an exlstins structu.e, is a fne sprinkler system insta l€d?: trYes UNo
Describelndetailthetypeof workro beperform€d:
Set 12o-qals above qround LP tank and run +/- 30Ft Copper Gas Piping over to Generator
Florida Produ.t Approva #for multipLe products use product approvalform
Prorertv ownea lntormation
Clty Atlanlic Beach statejL zip Y??1
E-Mait sEyhoundjack@ad.om
owner or Agent (lf agent Power of attorney or Agency Letter Requir€d)
contrador ln{ormation
Name of Company Feiiellcas LP QuaiifyingAgent
AddressSS l0l,r Trl St. S cityjlgg:gryill9
Otfice phone 407/558 0836 contact Number t! ZQqq!9q
# 1G333
JobSite
E MailState Certification/Reginration kalype.ni6@oullook.6m
Archltect Name & Phon€ #
En8ineer's Name & Phone +
workers Compensation lnsu.er oR Exempt o Expiration Date
App ication is hereby made to obtain a permit to do the work and installations as indicated. lcenify that no work or installation has
commenced prior to the lsslance of a permit and that allworkwillbe performed to meet the standards ofallthe laws re8ulating
construction in thisjurisdiction. I understand that a separate permii must be secured for ELECIRICALWOR& PLUMBING, SIGNS,
WELL5, Poo$, TURNACES, BollEfls, HEATERS, TANKS, and AIR coNolTloNERs, etc. NoTlcE:ln additionto the requirements ofthls
permit, there may be additiona restrictions appllcable to t h is propertythat may befound in the publlc records ofthls county, and
there maybe additionalpermits required from oth€r governmenta I entiu es such as water management dist.icts/ state agencies, or
federal agencies.
OWN ER'S AFFTDAVTT: rcertifythat alltheforegoins informaiion is accurate andthatallworkwillbe done in compliance with all
appl(abrc dwveB-lar:re consrru(no. ond /olinB.
WARNING TO OWNER: YOUR FAITURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESUTT IN YOUR PAYIN6 TWICE FOR IMPROVEMENTS TO
TO OBTAIN FINANCING, CONSUTT WITH YOUR TENDER OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
R PROPERW. IF YOU INTEND
ATTORNEY BEFORE
flPersona ly (nown OR
I I Produced ldentification
i Not ry Plb ic . SAt. or Fbnd!(@ri3rcn, HN 08zl9l
lly conn, EtDne, Jai 19, 20?5
8dd.d throulh NrtlmaL NoGry A$i.lxl Pe6onally K.own OR
[ ] Prod!.ed lde.tficatio
:--: Not ry Pubtk.5tat. oi FtorJda,d' cohn $ion I HH os2t9l.g,', rlycofir. E,rtr ,Jar t9 202t
lor(.d tnrough Nat,onat rotary A$n.
TVpe of ldentifietion: Pe6mdrv Kn@n
Sisned and sworn to ior afiirmed) befor€
Novembel ,'2021 ,by
GAS INSTALLATION SHEET
APPLIANCES
Number of Each
Stove
Dryer
Water Heater
Pool Heater/SPA
Grill
Fire Bowls
1 Generator
Piping Materials: P.E ( ) --- Copper -- Galvanize/Metallic ( )-- CSST/Trac ( )
Iolal Developed: Length ,| ?5I!_
BTU lnput
285.000
TotalBTU lnput 285.000Total Drops
CONTAINERS
Above Ground #of___-L Size WC 120 Underground #of _ Size WC
2 Stage System: Yes (X) No ( )
System Design
Natural ( ) LP Design Pressure 11"WC
lFerFBc G"rt-d.'coaei iatt' otl, 4orj
Job Address: 351 11th Street
Company: FerrellGas lP
Commercial: Residential: X ,
Contractor/Company: FerrellGasLP State#; LG6l"2
G= Ferrellgas
INSTALIATION PROPOSAT . AttAChMENt A
Customer Name Account# Date
Customer Physical Address
Site Check Diagram:
285,000
'3".,-'.q)o -
Design Pressure 11"WC
ls this a Two-Stage System? YEs
Exterior line Frcm Tank To lnsideSize:
lnterior LIhe to appllances: Size:
TECH MUST INCLUOE SETBAC(S
po lP abxArou"d
+/-3ol/.cafPt''i::__i'
Il*,
*to
/o'r
8137'l ,i LlE }:
t-:aiiL:2ot 2
E:=-
t!
8:37 -l ..t rrE ,-
1of 2
GAS PIPING INSTALLATIONS
raBLE 402.4(30)
SEMIRIGID COPPER TUBING
Sizing belween slngleorsecond slage (ow-pres.ure requlator) and appliance-
C.p.ciy in Thous.nds oJ Atu per Hour
For SI i inch =,7t4rm, I lool = J04.f Im. I loundFei square,hci = 6.89J (9.. rrcn warer.otum = d.1488 (Pa.
I British rhmal dnn per bou = 0.2931 w, I cubic foot pd honr = 0.0283 nrA, I degree = 0.01745 md.
- I T,ble.apaities m hased on T}?c Kcopper tubina iDside dimelerGhovn). whichtras tne snallestinside dianeterlfLte copper tubnre prcducts.
2 NA nems a flow ol less rhm 10,000 Btu/tu.
3. Al1 rable cntics havc bcen rouded io lhree sj gnjicd t digi ts.
FLOFIDA BUILDING CODE_ FUEL GAS. Tth EDITTON (2020)55
GAS PIPING INSTALLATIONS
rABLE 402.4(29)
SEMIRIGID COPPER TUBING
INTENDED USE si2inq betwe.n lrrsi staqe (high-presso/e requrato, and seoohd slage (ld-pEs.ure roqulator.
Capaciry in Thousnds ol Bru p.r Hour
IrorSlr I irlh = 25..1mm I ftri =10,18 urn', L potrod per rquare inch = 6 395 (Pr, L ,ncb wrierc.lunrn = 02133 kPr.
h,' ''-l" .'rr
I lable.apaciri.!xrthr\eaonT)-t.(coru.rrtrbnr.entridcdia t€Lr(\howo).Bh,.hhartho\frlle{nriJ.dirmeGrolthecolrferttblieprolu.6
tr.cr.. .i I 'J l. | ' ..i di i'
54 FLOBIOA BUILDING CODE _ FUELGAS, Tth EDITION (2020)
Name: Jack Howell
Address: 351 lle Street
Email: geyhoundjack@aol.com
IIFerrel Installation Estimate
Phone-90+945-2242
Adantic Beach, Fl 32233
-
60% Oue at Crsdit approval or prepayment io tull tor PIA Custorers cquired
conaact $ai ltre undirsigoed srEll b. rcslor$ible to f.NUGas LP for 6r] & all
F.ft.llcas LP Blating io dE enfomenr ol,
of *dicB. Proposal is only valid for 3c days and may t e voided if nor .cepred and sign wirhin
30 days of thi! receipt Permit Fe6 6re non{efundable, Additional F*s Mav applv for Re-tnspedions
(! ?! !;-/1. or irip charo€s due to orstom6r not raadv or failed to corfm app.intrnents iS; 5 r.1)
Fenel{Gas resewes the ight to addchange this estimale if inc{red
'n
additronat parrs or tabor up to
20% wilhoul new proposal issuance.
-
AllWo*willbe emdeted in accodance with allappli€ble laws, Ferellgas' stardard practies, snd in
a workmanlike manner. Any changes in lhe above described job which requiies addilional equipment or
labor and results in addiiionalcosl wiltb€ pedomed upon reoeipt of wdtten o.ders kom the cuslomer. ,i
any changesto onginatwork, jobwill be canceied untilnew agreement is signed and apprEved
-
Fenellgas will nol be Responsiblefor Dirl Removalon Underground Jobsiit is iustomer responsibitily
of excess dill disposai/removal. Custorner is responsible to malk iheir own sprinkler or low voriage tines
and ro follow up with Locaie clmpany 10 ensurE completion (sunshine 811). Fenettgas is ngt
responsible tor damage to u/g pipesorlines (induding irrigsiion, eleciric, elc.) not narked by centra
localing seffices or cuslomer for spnnkler lines. Customer must provide ctear path for backyard or side
wo*, such as pavers or fence removal. We willnol remove fences, paverc, ETC andwillnotbe
responsible ior inslalling back
-.
egslgsErwilr be -esponsible ro. eredncah,a\edot !9r!i!99!-p!p9J&!-4!!9SSII-l4j1?9L
""'Fenell6as wi not be r.-eponsiue lot cablnew.tlstdlce rcouiftmen.s per soecs and
manulactureE rccomtaen.latlonslot a Xil.han,poli.nce insldlation. Customer is responsibte for
prcviding conreEion kns gerectors are €quired lo have flexible lire to @.nect to gas. FenettGas W t
nor be responsible for Relieve vatve on Pool hearcr/sPA unlts.
-
Femllcs is not responsible for damage lo or replac€menl o. landsepe- Any Sleeving direciional
bori.g. dc6sive .006. or &El rocr {ill reqlke en additio@t charge.
Please sign if you have Read and Agre€ to the forgoing pfopos€d contract & accept it
The undGigned agEes rhd in dE ev.nt tlat it be.omcs neocse.y ro lit&ue ey orh.r rms & condnions oa rhis
Lease and install 2-120 gallon above ground propane tank and gas tine 25
Firsifll propane 2 99 Gallon
Ca I for next de{ivery at 30 %
Sirtr A.oproval of Psp@t:
f6 miUor $( inunul hr