1770 Maritime Oak Dr GSRS21-0126 Gas outlet to pool heater MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
PERMIT GSRS21-0126
CITY OF ATLANTIC BEACH ISSUED: 12/17/2021
EXPIRES: 6/15/2022
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:
1770 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS Gas outlet to pool heater $775.00
TYPE OF REAL ESTATE BUILDING USE
ZONING: I SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1830 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Hunter Gas 4770 Sandy Run Ln Jacksonville Fl 32224
OWNER: ADDRESS: CITY: STATE: ZIP:
MCINERNY KEVIN 1770 MARITIME OAK DR 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.
LIST OF CONDITIONS
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 455-0000-322-1000 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
TOTAL:$69.00
Issued Date: 12/17/2021 1 of 2
,r
i�Lvr�,, MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
.. GSRS21-0126
� a PERMIT
,..,1;--
w ISSUED: 12/17/2021
\ ,>,0.: � , CITY OF ATLANTIC BEACH EXPIRES: 6/15/2022
Issued Date: 12/17/2021 2 of 2
Mechanical Permit Application **ALL INFORMATION
• HIGHLIGHTED IN
' City of Atlantic Beach Building Department GRAY IS REQUIRED.
"NO800 Seminole Rd, Atlantic Beach, FL 32233
`""'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 111 b Rt.( .. k--r',,-.e_ o, ;5 ` c ` PROJECT VALUE $ 7 7,
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ 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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: �S �0 G (..—A he yc-c-C .
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: I(Go•eN JAI :nGc-/1.1 Phone Number: C12 cj ()Ste-)
Mechanical Company: —f fi
,, r C.--c% Office Phone: /0' 326 ')-I"I)- Fax
Co. Address: Lk--1-10 `&.--Z�4z.-• •--, Lt-n e- N • City: d<<k54.n..h\l C.- State:e -Zip: ZZLt
License Holder: I
Aili ' < Ai-4' r',' mac. .tate Certificatio •-:istration# 3 ( Lc�
Notarized Signature of License Holder • r
The foregoinginstrument was acknow•-.ged fore me thi• _ .. of 1)6C, ,202, in the State of Florida,
County of PU wAL
Signature of Notary Public l/ ‘XU- 14 ../""\
LUpda•
V►" , CHRISTUWGILES [ ] Personally Known OR [ roduced Identification
47.
7a!t",: MYCOMMISSION#HH 117153 Type of Identification: L I
��.:o` EXPIRSS:April 13,2025
ted 10/9/18
.t2 f e:.. Bonded Tin Notary Public unde�wriers