Permit Gas 338 6th St 2011 . i CITY OF ATLANTIC BEACH
' fa 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
0r319I'
Application Number . . . . 11- 00002140 Date 5/26/11
Property Address 338 6TH ST
Application type description MECHANICAL GAS PIPING
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
EXTEND GAS LINE
Owner Contractor
FORD, DON PROGASCO, CORP.
338 6TH ST 7709 ALTON AVE.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 721 -5431
Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . .
Permit Fee . . . . 65.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 11/22/11
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 33? r/ ,S .. SE ' PERMIT #
PROJECT VALUE $ 73.6 b
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating_
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Unit Quantity ARI #
Air Conditioning: Q ty Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
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 MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets
_____i___ # Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: e 0 n it s 1I AJ a 7s .0
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 au ority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name a ki ,e Q
Phone Number
Mechanical Company PreASA966 e-06 Office Phone 2 /-S`
� 7 f/3/ Fax 71/ S73 . 7
Co. Address: 7 797 d / #,ii AU City - TA y State, Z Zip �aa /i
License Holder (Print): < 1/i/ d , "IWO State Certification/Registration # 9c2 7/
Notarized Signature of _ . - ; ,t. = r , * +!
, �
#i „ P ��. M COMMISSION # DD 95 Q p i
" r E �.'= e •�' ' .e b� e thi• l
ay of 4- / R 20 /7
^ T Bon ded Thru N o t a r y Pub i + 1 �.,,
e o Notary Pub 1 ��
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