Permit Mech Gas 1979 Brista DE Mar 2011 I 4 °, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j , ATLANTIC BEACH, FL 32233
____"// INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002522 Date 8/22/11
Property Address 1979 BRISTA DE MAR CIR
Application type description MECHANICAL GAS PIPING
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
gas outlet
Owner Contractor
BRACEY SAWYER GAS COMPANY
98 PENMAN ROAD
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 246 -6471
Permit MECHANICAL GAS PIPE PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/18/12
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.
Jul 29 10 03:08p Information SystamsClTY 0 904- 247 -5845 111
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 / ` / - a a a
/ . (904) 247 -5826 Fax (904) 247-5845 •
JOB ADDRESS: / ,9 7 l ac is7- A6 / /�` /''e- '/ FERMI' # -
PROJECT VALUE $ 39 -
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION '
Air Conditioning; Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating ICED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating RE ULtED
Duct Systems: Total CFM
FIRE PREVENTION l (Requires 3 sets of plans)
Fire S. Fire Sprinkler System Quantity (Requires 3 sets of plans)
Undergro , • Fire Main aloe (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity equines 3 sets of plans)
Fire Suppression Systems Quantity wires 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
Pumps
4 Vented Wall aces Refrigerator Condenser BT[J's
# 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 ratify 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 died with whether specified
or not The permit does not give authority to violate the oppvisions of any other state or local law regulation construction or the per bnnance of construcdon-
Property Owners Name t ee - A) g 4 Phone Number 3— ‘6 2 -r --
Mechanical Company. Her; 40.3e. &tar►a D 8A : S' awre Gas Office Phone 2 '1 -oYis Fax 246 -0'uf
Co. Address: 18 S. Ptnman AL. ity lteksonyI(k &o,.h State Pl. Zip ,r _ 77 ..._3 Z t so
License Holder (Print): ' k ow brio( . /.. e Certification/Registration egistration # /1!!1 � f
.
Notarized Signature of License Holder
Sworn and subscri ,
� 'i
ore me this 7-Z Ai b day of , ft k 94- 7 20 .1 /
ow
Signature of Notary P is T r ` i
MAC MEHAFFEY
,,,,,...44 h MYCCM SSIno+; DO90737 8
' ~'Q Bonded hr Notary P c u ce writers