Permit Mech Gas 555 Selva Lakes Cir 2012 ti 1 CITY OF ATLANTIC BEACH
H
800 SEMINOLE ROAD
J Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
) : I
Application Number 12- 00000117 Date 1/27/12
Property Address 555 SELVA LAKES CIR
Application type description MECHANICAL GAS PIPING
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
GAS LOGS
Owner Contractor
CLAYTON THEODORE ET AL PROGASCO, CORP.
555 SEVLA LAKES CIR. 7709 ALTON AVE.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 721 -5431
Permit MECHANICAL GAS PIPE PERMIT
Additional desc .
Permit Fee . . . 130.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 7/25/12
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 130.00 130.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 134.00 134.00 .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: ,j , . (14 44 c l /Z PERMIT #
PROJECT VALUE $ IS - e d 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)
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 _L_ Boilers BTU's
Elevators /Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons) - /Op* 6;6' €A
Wells
OTHER: 4 5-. ) 4?)/ ii , IA s c 0 5
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.
Property Owners Name , ,I,€ f � 67)0 Phone Number
Mechanical Company n f � Ce% Office Phone Fax
Co. Address: 7 7d 1W/ City y State i Zip 3 Z z ??
License Holder (Print): , a d A ' Z ✓ i / G / ( 7 1 `O State Certification/Registration # 9' >-f#
Notarized Sig ' ' , , • �� ■••■■ t " - - - �
- 7 g' "Yr� SHIRLEY L. GRAHAM
, „,_ mycoMMissloN�# gym . d s bef-�re me this �� .: of i�
V =; �� EXPIRES. Febniaty 14, 2014 , :y ► 20
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o Notary Public
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CITY OF ATLANTIC BEACH
BUILDING AND ZONING DEPARTME T / 7
ctio
NOTICE
This building has been inspected and:
General Construction Mechanical
I Concrete and Masonry I Electrical ,----
Plumbing :1 Gas Piping
IS NOT ACCE il TED
CORRECT AS NOTED BELOW, BEFORE ANY FURTHER WORK
PI) 1 ,
LI 5 /1 • //0 • 1 r\_ I-( r s+-1
WO NOT REMOVE TVIS NO11711CC
Inspector: ).-/71.1e— Date: / - 2 - 7
Failure to respond to this Notice `kv ithin 10 clays will result in this violation being forwarded
to the
CODE ENFORCEMENT BOARD.
The posting of this Placard by its contents shall serve as due notice.