Permit Mech Gas Pipe 1874 Tierra Verde Dr 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000868 Date 10/,1-5'/12
Property Address . . . . . . 1874 TIERRA VERDE DR
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 468725
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Application desc
NEW SINGLE FAMILY HOME
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Owner Contractor
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HANBURY DAVID AND BRENDA SANTIERO CUSTOM HOMES
1874 TIERRA VERDE DR P 0 BOX 3042
ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32004
(904) 655-6728
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc MECHANICAL GAS PERMIT
Sub Contractor SAWYER GAS COMPANY
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . 10/12/12 Valuation . . . . 0
Expiration Date . . 4/10/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
FOR AN APPROVED FINAL MECHANICAL A/C INSPECTION, A STICKER
SHALL BE INSTALLED ON THE AHU TO VERIFY THAT DUCTS HAVE
BEEN SEALED, A CERTIFICATION SHALL BE ON SIGHT FOR THE
INSPECTOR STATING THAT THE A/C SYSTEM PASSED THE "AIR BLAST
INSPECTION" FROM AND INDEPENDENT TESTING AGENCY.
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
A sewer cleanout must be installed at the property line .
PERMIT [ aaaotDViiuStAbORB<Q"Mdi Wdttb[TVLIDFRTLIAWWIaXC*®RkiPANcWs' X4 b THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00000868 Date 10/12/12
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Special Notes and Comments
metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be
installed if irrigation will be provided or if there is a
private well on the property. Backflow preventer must be
tested by a certified tester and a copy of the results sent
to Public Utilities .
If fire sprinkler system is provided, contact Malcolm
Clemons at 247-5839 for backflow requirements . At a
minimum, will require double check backflow preventer.
Remain clear of easements on north and west property
boundaries .
An existing 6" water main is located in the easement on the
west. Avoid damage to water main during construction.
If on-site storage is required, a post construction
topographic survey documenting proper construction will be
required.
A Right-of-Way Permit must be obtained for use of pavers .
A Revocable Enroachment Permit must be obtained for paver
driveway in the right-of-way.
Full right-of-way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management)
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 4 . 09
STATE MECH DBPR SURCHARGE 4 . 09
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 8 . 18 8 . 18 . 00 . 00
Grand Total 128 . 18 128 . 18 . 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
.TOB ADDRESS: / � / / ,/ 7 eRlZ4 V-p-( ZDc- PERMIT#
PROJECT VAL UE $ 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 b Automobile Lifts
Gas Piping Outlets Off, Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING� Heat Exchanger
Quantity of Outlets — Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters of Solar Collection Systems
Tanks(gallons) d
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 -D6V - /Z V Phone Number
0 �Mechanical Company 4 f -
Co. Address:
City State 14'L Zip 22a
License Holder(Print): M,/46- 120 State Certification/Registration# /;��W
Notarized Signature of License Holder
E
Sworn and sub.-;;52)d before me this _I A ay of �C- .JlgE e� 20�
MEHAFFEY
W oommwION t DD 907379
DCPIREs:Jury 29,2013 Signature of Notary Public
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