340 2nd St GSRS22-0045 Mech Permit : MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
J :f GSRS22-0045
PERMIT ISSUED: 5/25/2022
CITY OF ATLANTIC BEACH EXPIRES: 11/21/2022
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::" I PERMIT TYPE: DESCRIPTION: I VALUE OF WORK:
340 2ND ST MECHANICAL RESIDENTIAL GAS GAS PIPING -5 OUTLETS $3250.00
TYPE OF I REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169765 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: I ZIP:
Hunter Gas 4770 Sandy Run Ln Jacksonville Fl 32224
OWNER: I ADDRESS: 1 CITY: ( STATE: I ZIP:
D AND K WADE TRUST 7510 BRIARCLIFF DR ROSOE IL 61073
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II`
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 3 $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
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 2 $10.00
TOTAL:$79.00
Issued Date:5/25/2022 1 of 2
Mechanical Permit Application **ALL INFORMATION
,* HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
C " Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:CS4z' 604
JOB ADDRESS: ? `'f 0 DA a_ -ke__- PROJECT VALUE$ 7 5cL
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
E Air Handling Equipment Only 0 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)
0 Air Handling Equipment Only ❑ Condenser Only El 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) 1
❑FIRE PLACES n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Ga 'ping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPINGHeat Exchanger
Quantity of Outlets t--mc-\ Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Z,- Solar Collection Systems
Tanks (gallons) IV \/
Wells
(OTHER:
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: , 0 /-r 1A 0 c &:- <-171,s - Phone Number: 'Cv l -1, %S U-
Mechanical Company: l - tom c S Office Phone:: toy? 2(, -%J --Fax
Co.Address:1 Lrn D 3"`�`- "/I L,�� City: dutLV:)2�1a1t_ State:. Zip:1.-- 2 \
License Holder:i k.n 4_ .› r t^ �Z State Cep: -9 o' - _ .tion#1 UZv b
Notarized Signature of License Holder _ A i
�Z • IP . Q- -� of Florida,
.,
The foregoi in ument w s acknowledged before me this ay n the State o
County of LX! 'c�—
Signature of Notary Public - -
4i • q �,rt TONI GINDLESPERGER [ ] Personally Known O oduced Identification ,
,:l *; IAS •*_ MY COMMISSION#GG 353178
;/�.Pa: EXPIRES:October 6,2023 Type of Identification: I
°FOF,F;°,' Bonded T hru Notary Public Underwriters Updated 10/9/18