1889 Beach Ave GSRS23-0024 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
EMANS CHRISTOPHER F 1651 SEMINOLE RD ATLANTIC BEACH FL 32233-5855
COMPANY:ADDRESS:CITY:STATE:ZIP:
Hunter Gas 4770 Sandy Run Ln Jacksonville Fl 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169686 0000 NORTH ATLANTIC BCH
UNIT 2
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1889 BEACH AVE MECHANICAL RESIDENTIAL GAS 7 Gas Piping Outlets, 2
Water Heater Gas Pipes $5000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 7 $16.00
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
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: 3/24/2023
PERMIT NUMBER
GSRS23-0024
ISSUED: 3/24/2023
EXPIRES: 9/20/2023
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $85.00
2 of 2Issued Date: 3/24/2023
PERMIT NUMBER
GSRS23-0024
ISSUED: 3/24/2023
EXPIRES: 9/20/2023
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
S _wr Mechanical Permit Application ALL INFORMATION
s` HIGHLIGHTED IN
i' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
r
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: GS -52_3--(x)2.4
JOB ADDRESS: l (cC,(wl PROJECT VALUE $ S 000
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only E 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
fl 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)
El FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPINGHeat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
Water Heaters Solar Collection Systems
Tanks (gallons)
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: f.A-i>r -r p-, ^ Phone Number: (u'1 tip,. Li(?
Mechanical Company: t\-.( \-`r ( 7 5 Office Phone: 1a`t-3$c, -1)--Fax
Co. Address: '-1-(1 U Sc. -"-6\1— `\ L-c\-L I V City: c}..,__ ks,l lc_ State: 't . Zip: )7_2_21
License Holder: c- ,,,Ae(` 7iThTetert& tion/Reistration# LQ ` 3(2-°C .
Notarized Signature of License Holder
U
C c
The foregoing instrument was ackno ed:-• •efore this 2d of 2023, in the State of Florida,
County of DuJ0,;
Signature of Notary Public
VINOsodirMONNIIIIIMINWONOMMIIIIMININW
ON% VANESSA ANGERS [ ;Personally Known OR [k4roduced Identification
flir ?1 MYCOMMISSION#HH244118TyoeofIdentification: fI, Ill. e_ 02-72k-53e-304r,-O pian Pccir
is.
citie7
EXPIRES:March 23,2026 Updated 10/9/18