763 Atlantic Blvd Unit C Jersey Mike's MGAS21-0005 2 Gas OutletsOWNER:ADDRESS:CITY:STATE:ZIP:
412 BOARDWALK P O BOX 33046 ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Orlando Plumbing Service 812 Concord St Orlando Fl 32803
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177653 0000 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
763 ATLANTIC BLVD Unit C
MECHANICAL COMMERCIAL
GAS DETAILS PER BUILDING
PLANS
2 Gas Outlets for: INT
REMODEL JERSEY MIKE SUB
SHOP
$1400.00
FEES
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
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $69.00
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: 12/9/2021
PERMIT NUMBER
MGAS21-0005
ISSUED: 12/9/2021
EXPIRES: 6/7/2022
MECHANICAL COMMERCIAL GAS
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
2 of 2Issued Date: 12/9/2021
PERMIT NUMBER
MGAS21-0005
ISSUED: 12/9/2021
EXPIRES: 6/7/2022
MECHANICAL COMMERCIAL GAS
DETAILS PER BUILDING PLANS
PERMIT
CITY OF ATLANTIC BEACH
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $69.00
MGAS21-0005 Address: 763 ATLANTIC BLVD Unit C APN: 177653 0000 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 2 $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: R18237 $69.00
Printed: Thursday, December 9, 2021 10:29 AM
Date Paid: Thursday, December 09, 2021
Paid By: Orlando Plumbing Service
Pay Method: CREDIT CARD 557706695
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18237