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1485 MARSH VIEW CT GSRS22-0064 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: COUSIN LAURA L 1485 MARSH VIEW CT ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: FLORIDA PROPANE-Griffis Gas 461 TRESCA RD JACKSONVILLE FL 32225 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170704 0080 HIDDEN PARADISE JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1485 MARSH VIEW CT MECHANICAL RESIDENTIAL GAS GAS PIPING - 200 lb TANK AND OUTLET FOR SPA HEATER $1000.00 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 200 $20.00 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: 9/19/2022 PERMIT NUMBER GSRS22-0064 ISSUED: 9/19/2022 EXPIRES: 3/18/2023 MECHANICAL RESIDENTIAL GAS PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD GSRS22-0064 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $84.00 GSRS22-0064 Address: 1485 MARSH VIEW CT APN: 170704 0080 $84.00 MECHANICAL $80.00 MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00 TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 200 $20.00 VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 1 $5.00 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: R20949 $84.00 Printed: Monday, September 19, 2022 11:31 AM Date Paid: Monday, September 19, 2022 Paid By: FLORIDA PROPANE-Griffis Gas Pay Method: CREDIT CARD 725976246 1 of 1 Cashier: TG Cash Register Receipt City of Atlantic Beach Receipt Number R20949 VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 1 $5.00 TOTAL: $84.00 2 of 2Issued Date: 9/19/2022 PERMIT NUMBER GSRS22-0064 ISSUED: 9/19/2022 EXPIRES: 3/18/2023 MECHANICAL RESIDENTIAL GAS PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD