1977 Beach Ave GSRS22-0048 Mech Permit MECHANICAL RESIDENTIAL GAS PERMIT NUMBER
GSRS22-0048
gr% PERMIT
ISSUED: 6/29/2022CITY OF ATLANTIC BEACH
ttni.ate EXPIRES: 12/26/2022
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: I VALUE OF WORK:
1977 BEACH AVE MECHANICAL RESIDENTIAL GAS GAS PIPING - 2 OUTLETS $1750.00
TYPE OF 4 REAL ESTATE BUILDING USE
ZONING: , SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169723 1006 BEACH AVENUE
CONDOMINIUM
COMPANY: / ADDRESS: CITY: STATE: I ZIP:
Hunter Gas 4770 Sandy Run Ln Jacksonville Fl 32224
OWNER: ADDRESS: CITY: STATE: ZIP:
MARTIN RACHEL 1977 BEACH AVE ATLANTIC BEACH FL 32233
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.
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:$69.00
Issued Date:6/29/2022 1 of 2
, � Mechanical Permit Application **ALL INFORMATION
City of Atlantic Beach Building Department GRAY IS REQUIRED.
L' HIGHLIGHTED IN
41,) 800 Seminole Rd, Atlantic Beach, FL 32233 RS22. _ CaD4 4
'a''s . Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS:. 11 ec..31A_ kv� PROJECT VALUE$ + 1 TO r
n NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only 0 Condenser Only 0 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 0 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)
El FIRE PLACES n 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
El 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 constru tion or the performance of construction.
Owner Name: ck�i_ \ j �.• , Phone Number: scb`\nc 57 U`l
Mechanical Company:' �' �c hf S�� Office Phone: j��( 3g, a«i__Eax
Co.Address:I t. 1R U S t i a a_� L_c_ I City:i a_cx,���J .',.1 f State:' F( Zip:' 3 ZZ-?_`\ .
License Holder:I re„ ,,, ..),,,,,,,_2_ , State Certification/Registration#i 3 2c) .
Notarized Signature of License Holdere-t ( _ iiii--).L...41 ,_,
The fore o• instrume was acknowledged before m: this ar , '-' An_ he State of Florida,
g ' g
Co3---
unty of c9V"e
Signature of Notary Public -- ��
"AVP TONI GINE/ES-PE' Personally Known OR [ ] Produced Identification
v n * MYCOMMISSIONi�GG353178 Type of Identification:
„,,,:..,F °` EXPIRES.October 6,2023 Updated 10/9/18
7 °'' Bended T ry
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