1525 BEACH AVE GSRS-0019 COAB Permit Form with Conditions PERMITOWNER:ADDRESS:CITY:STATE:ZIP:
HOLME DAVID 1525 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
D & D Gas, Inc.7709 ALTON AVE JACKSONVILLE FL 32211
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170309 0010 ATLANTIC BCH HOTEL
RESER
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1525 BEACH AVE MECHANICAL RESIDENTIAL GAS GAS PIPING - 2 100 gal
TANKS AND ONE OUTLETS $775.00
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
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 2 $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: 2/26/2024
PERMIT NUMBER
GSRS24-0019
ISSUED: 2/26/2024
EXPIRES: 8/24/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $89.00
GSRS24-0019 Address: 1525 BEACH AVE APN: 170309 0010 $89.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
TANKS GAS OR LIQUEFIED PETROLEUM 455-0000-322-1000 2 $20.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
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: R26327 $89.00
Printed: Monday, February 26, 2024 9:30 AM
Date Paid: Monday, February 26, 2024
Paid By: D & D Gas, Inc.
Pay Method: CREDIT CARD 10144794841
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R26327
2 -100 gal TANKS
GSRS24-0019
TOTAL: $89.00
2 of 2Issued Date: 2/26/2024
PERMIT NUMBER
GSRS24-0019
ISSUED: 2/26/2024
EXPIRES: 8/24/2024
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD