Permit Mech Gas 1632 W Park Ter 2012 y ���� `,� s CITY OF ATLANTIC BEACH
4 j 800 SEMINOLE ROAD
J ,F ; „.;1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
y r3
Application Number 12- 00000124 Date 1/31/12
Property Address 1632 W PARK TER
Application type description MECHANICAL GAS PIPING
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
6 outlets 2 water heater
Owner Contractor
AYCOCK SAWYER GAS COMPANY
1632 PARK TERRACE WEST 98 PENMAN ROAD
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 246 -6471
Permit MECHANICAL GAS PIPE PERMIT
Additional desc .
Permit Fee . . . 67.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/29/12
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 67.00 67.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 71.00 71.00 .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: / / 32 Gt> • ��� 7 Y MA / 2 S Co PERMIT # �J
PROJECT VALUE $ /D 9So 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 Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets 6 Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters 2- Solar Collection Systems
Tanks (gallons) crO
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 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 C� •n - y [,o 6, 4 Phone Number 1Z 2- 41z..0 41z..0 Mechanical Company //2�/7 t / .64 � 1�/ "icy S' Office 74- iFaxlb: 1r7/(
s: � AR)464,3 161, / A ic L) ?t€ /( State / Zip 322(6
Co. Addres �' �� J .
License Holder (Print): 44 14 C Me , I_.�, e State Certification/Registration #
Notarized Signature of License Holde r
Mir Sworn and subsc -'f d before me this 3/ Sr + ay of A>� " 20 I'
• * : MY COMMISSION it DD 907379 C�.� A MARLEM E.
.._•:,- EXPIRES: July 29, 2013 Signature of Notary Public in ' / � . i
' : e= A , •>' Bonded Thiu Notary undener tens