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811 Paradise Ln GSRS21-0124 120 Gal TankOWNER:ADDRESS:CITY:STATE:ZIP: SPRINGFIELD BUILDERS LLC 13846 ATLANTIC BLVD #204 JACKSONVILLE FL 32225 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: 172376 0160 PARADISE PRESERVE JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 811 PARADISE LN MECHANICAL RESIDENTIAL GAS Bury 120# tank: PRIV PROV INSPECTIONS NEW SINGLE FAMILY HOME $1392.73 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT 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 TOTAL: $79.00 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 GSRS21-0124 ISSUED: 12/9/2021 EXPIRES: 6/7/2022 MECHANICAL RESIDENTIAL GAS PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 2 of 2Issued Date: 12/9/2021 PERMIT NUMBER GSRS21-0124 ISSUED: 12/9/2021 EXPIRES: 6/7/2022 MECHANICAL RESIDENTIAL GAS PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD DESCRIPTION ACCOUNT QTY PAID PermitTRAK $79.00 GSRS21-0124 Address: 811 PARADISE LN APN: 172376 0160 $79.00 MECHANICAL $75.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 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: R18243 $79.00 Printed: Thursday, December 9, 2021 1:28 PM Date Paid: Thursday, December 09, 2021 Paid By: D & D Gas, Inc. Pay Method: CREDIT CARD 557815088 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R18243 GSRS21-0124