Loading...
169 Poinsettia St Gas 2012 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12- 0000792 Date 6/26/12 Property Address . . . . . . 169 POINSETTIA ST Application type description MECEANICAL GAS PIPING Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 OUTLETS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HANCOCK BANK EXPERT GAS APPLIANCE SERV CO 1022 23RD ST W P O BOX 338 PANAMA CITY FL 32405 CALLAHAN FL 32011 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/23/12 ------------------------ ---------------------------------------------------- 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 OFATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w f MECHANICAL PERMIT APPLICATION CITY OF ATLANT C BEACH 800 Seminole Rd Atlantic Bc ach, FL 32233 Ph(904) 247-5826 Fax (9 04) 247-5845 .TOB ADDRESS: Q i PERMIT# PROJECT VALUE $ 3 � ARI REQUIRED NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Ur it 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 Ur it 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 Autorr.obile Lifts Gas Piping Outlets Boiler BTU's Elevat rs/Escalators ALL OTHER GAS PIPI Heat F xchanger Quantity of Outlets Pump #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: C5 0 �c Permit becomes void if work does not commence.within a six month period or work is si ispended 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 or inances 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 I ocal law regulation construction or the performance of construction. Property Owners Name �' Phone Number_3/5--,5:3�5 �l9-�9G8 Mechanical Company fce Phonea axF Co. Address: / 19Z� 1.� City State f/&Zip,-3,-r7 License Holder(Print): State Certification/Registration# 7 E3 Notarized Signature of License Holder Sworn and subscribed befo e this (dav)4 20 Signature of Notary Pu is