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Permit Mech Gas 1874 Tierra Verde Dr 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 oil Application Number . . . . . 12-00001491 �! Date 10/10/12 Property Address . . . . . . 1874 TIERRAIVERDE DR Application type description MECHANICAL OAS PIPING Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc gas fireplace ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HANBURY DAVID AND BRENDA SETZtRS & COMPANY 1874 TIERRA VERDE DR 76601PHILLIPS HIGHWAY ATLANTIC BEACH FL 32233 JACK80NVILLE FL 32241 (904) 731-4100 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/08/13 ---------------------------------------------------------------------------- Special Notes and Comments issued separate permit from sfr could not get the dca and dpbr fees to calculate correctly ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 89 . 00 89 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, 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: I y'? q 7- e- PERMIT# PROJECT VALUE $ ( W(0. NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Ratin Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# Air Conditioning: Unit Quantity Tons Per Unit REQUIRED 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 MISCELLAI�EOUS: Prefabricated Fireplace Qty- Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger: Quantity of Outlets Pumps 1 #Vented Wall Furnaces Reffigerator Condenser BTU's #Water Heaters Solar Collectiod 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 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 pen-nit 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 Qznl Z 0 Phone Number o? Mechanical Company Office Phone7 -���to�Fax 730-JCy1;.t- Co. Address:-�CoLno 4)11,la City State FLzip -3,a-93 License Holder (Print): Wj t-7�kiead State-CAO"cationLRgaistration# 0,5 9PJ Notarized Signature of License Holder Sworn and subscribed b f Mree this 10 day of 0C-VDV0e e o —20k � -MME S.AKERS Signature of Notary Public X?*7A'TA CommL%slon#!EE 13318] ��i Exores Septembw:26,2015