Permit Mech Gas 1632 W Park Ter 2011 ` 1 CITY OF ATLANTI C BEACH
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s) 800 SEMINOLE ROAD
,. = ATLANTIC BEACH, FL 32233
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INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002692 Date 9/27/11
Property Address 1656 E PARK TER
Application type description MECHANICAL GAS PIPING
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
4 GAS OUTLETS
Owner Contractor
COTTRELL EDWARD K CERTIFIED PLUMBING CONTRACTORS
1656 PARK TERRACE EAST 551 CHATHAM STREET
ATLANTIC BEACH FL 32233 UNIT 1
JACKSONVILLE FL 32205
(904) 384 -4101
Permit MECHANICAL GAS PIPE PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/25/12
Special Notes and Comments
OK PER MIKE GRIFFIN TO ISSUE GAS MECH
TO PLUMBER
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: j6- 40 E . Park --- e ✓ traCe_ PERMIT # // 00 ODa . 0
PROJECT VALUE $ 7 O . 9 0 ARI #
REQUIRED
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
Air Conditioning: Unit Quantity Tons Per Unit
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) 1) Commercial Hoods Quantity (Requires 3 sets of plans) (Q
Fire Suppression Systems Quantity (Requires 3 sets of plans) V
FIRE PLACES MISCELLANEOUS: \ ' ' (- 0
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets 3 Boilers BTU's
n
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger A Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters 1 Solar Collection Systems
Tanks (gallons) \,\//1\
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or ' andoned 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 .verning this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of an other state or local 1. ' regulation construction or the performance of construction.
Property Owners Name i G -�c7 a -. p ' Phone Number
Mechanical Company I - - " I 1' • / 1 s -24/ C�JY Or Office Phone3 V plc=/ Fax ._?E- 9 L 6 /L'
Co. Address: o � 3� �u�tt _� ` " — rty c. silk- State s Zip.=55
License Holder (Print): / OGi41 - ') ct 'Sc5P1 State Certification/Registration # e- C 1( 63
Notarized Signature of License Holder G
E-;:47.;.: ' "' vorn u e . or ' e day e 20 Elir GIL '
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'"- hR Y :,S ;OD 957760
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