1770 Maritime Oak Dr GSRS22-0038 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MCINERNY KEVIN 1770 MARITIME OAK DR ATLANTIC BEACH FL 32233
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:
169505 1830 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1770 MARITIME OAK DR MECHANICAL RESIDENTIAL GAS GAS PIPING FOR
GENERATOR $450.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
FURNACES AND HEATING 455-0000-322-1000 0 $0.00
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
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: 8/31/2023
PERMIT NUMBER
GSRS22-0038
ISSUED: 8/31/2023
EXPIRES: 2/27/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $69.00
2 of 2Issued Date: 8/31/2023
PERMIT NUMBER
GSRS22-0038
ISSUED: 8/31/2023
EXPIRES: 2/27/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ALL INFORMATION
a`-.t171,;, Mechanical Permit Application
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
v
800 Seminole Rd, Atlantic Beach, FL 32233 e SRS ZZ-6038
x
pi.)-- Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: fli 0 f `"'`c- OcAct 0C • PROJECT VALUE $ 4-1 j3 •
s
n 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
El 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 n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
GPiping Outlets Boilers BTUs
Elevators/Escalators
ALL OTHER GAS PIPINGHeat Exchanger
Quantity of Outlets 1 _ (57tAirANJ r
Pumps
Vented Wall Furnaces Refrigerator Condenser BTUs
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
f0THER:
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: ( 1./\ ML z f1c/CA1 Phone Number:
Mechanical Company: \.n'ct( CTS Office Phone: o ko Fax
Co. Address: 1 '„),")._\L,,._ Le N... , City: .c.l5)cnd•lt C State:Zip: )22Z'1
License Holder: Z.t-n ,oa
r: -4-Z-. ' State Certification/Regis tion# 9TH;- S 12
Notarized Signature of License Holder
The foregoi g in trument w s acknowledge. •efore me •• a .f IA • 202- t e State of Florida,
County of D Y 1
Signature of Notary Public a.
o<,"'!?c TONI GINDLESPERGER Xl Personally Known OR [ ] Produced Identification
s.: ,. .:,_; MY COMMISSION#GG 353178 Type of Identification:
4!'.3:' EXPIRES:October 6,2023 Updated 10/9/18
11F't?. Bonded Thru Notary Public Underwriters