970 sailfish Dr - GSRS24-0032MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
PERMIT NUMBER
GSRS24-0032
ISSUED: 3/26/2024
EXPIRES: 9/22/2024
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.
JOB ADDRESS: ----PERMITTYPE: DESCRIPTION: VALUE OF WORK:
970 SAILFISH DR MECHANICAL RESIDENTIAL GAS 1 Spa Heater Tank 118GL $3500.00
171169 0000
Hunter Gas 4770 Sandy Run Ln
NIX CODY A 970 SAILFISH DR
ROYAL PALMS UNIT 01
Jacksonville FI 32224
ATLANTIC BEACH FL 32233
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.
Issued Date: 3/26/2024 1 of 2
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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
118
$20.00
TOTAL: $89.00
Issued Date: 3/26/2024 1 of 2
Mechanical Permit Application
1 City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
- Phone: (904) 247-5826 Email: Building-Dept@coab.us
"ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #:(� S P-& 19 - oe::> 3 D
JOB ADDRESS: -1 _ �G�� �`.�1n D PROJECT VALUE $
❑ 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
Duct Systems: Total CFM
EI FIRE PREVENTION
Fire Sprinkler System
Quantity
Fire Standpipe
Quantity
Underground Fire Main
Value
Fire Hose Cabinets
Quantity
Commercial Hoods
Quantity
Fire Suppression Systems
Quantity
❑ FIRE PLACES
Prefabricated Fireplace (Qty)
s Piping Outlets
ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
nOTHER:
Seer Rating (REQUIRED)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
(Requires 1 set of digital plans)
❑ MISCELLANEOUS:
Automobile Lifts
Boilers BTUs
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser BTUs
Solar Collection Systems
Tanks (gallons) 2, CSL
Wells
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: 6CA-'e Phone Number: J78
Mechanical Company: > c Office Phone: �� 1 ��� r�`��Fax
Co. Address: 0 cA L,n f� City: �55� k_ ��� State Zip: Lz
License Holder: _ i - c.l A State Certification/Registration # L ca - -2, t Z ��
Notarized Signature of License HolderThe foregoiFg-iaNument wa acknowledged before me thi (oday o 20 he State of Florida,
County of
Signature of Notary Public
TONIGINDLESPERGER ;-fPersonally Known OR [ ] Produced Identification
MY COMMISSION # HH 407122
EXPIRES: October 6, 2027 Type of Identification:
Y�F'Gr'2�°P Updated 10/11/23