1628 W Linkside Dr GSRS23-0084 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
WILSON AMY C 1628 LINKSIDE DR W 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:
172374 6265 SELVA LINKSIDE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1628 W LINKSIDE DR MECHANICAL RESIDENTIAL GAS GAS PIPING - ONE OUTLET $1000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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
TOTAL: $69.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 12/5/2023
PERMIT NUMBER
GSRS23-0084
ISSUED: 12/5/2023
EXPIRES: 6/2/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
2 of 2Issued Date: 12/5/2023
PERMIT NUMBER
GSRS23-0084
ISSUED: 12/5/2023
EXPIRES: 6/2/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
y,,l;;,; Mechanical Permit Application ALL INFORMATION
r HIGHLIGHTED IN
J
Inui City of Atlantic Beach Building Department GRAY IS REQUIRED.
v 800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: . Sly -D
JOB ADDRESS: r1 10-Z (,n15S e a
PROJECT VALUE$ I c..7,... o .`"J •
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only Condenser Only ii Air Handling Unit & Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems:Total CFM
n REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
Air Handling Equipment Only LI 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 1 set of digital plans)
Fire Standpipe Quantity Requires 1 set of digital plans)
Underground Fire Main Value Requires 1 set of digital plans)
Fire Hose Cabinets Quantity Requires 1 set of digital plans)
Commercial Hoods Quantity Requires 1 set of digital plans)
Fire Suppression Systems Quantity Requires 1 set of digital plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets 11Boilers 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
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:t'.,S c1 c e,.r,A.0c, t ` Phone Number: qol .7c 1 j0-1
Mechanical Company: 0 ^\cc Cwt Office Phone: q0,-(36GCO. Fax
Co. Address: I-AZ1U Sc.,n V-,,,,.. l ,., + City: a L tt.\\ 3State`V-,,,,.. c Zip: ZZL`l
License Holder: 4e - Gr-t#eicatio.n Z k.- ('
egistration# L Q 3(
Notarized Signature of License Holder 7–
The fore of strumen was acknowle• ed'efore me this C9
1
da - 1 the State of Florida,
County ofU
g
Q" nature of Notary Public r_
0.:': , TONI GINDLESPERGER
MYCOMMISSION#HH40712¢A ersonally Known OR [ ] Produced Identification
7' EXPIRES:October 6,2027 Ty of Identification:
f.i ?''; Updated 10/11/23